Sponsorship Request

Thank you for considering National Health Insurance Company - Daman as a potential partner for your event. Kindly complete and submit the sponsorship request form below :
Note :All requests should be submitted at least 90 days prior to the event.
( * Mandatory Fields)
(E.g., Pharmacy)
(E.g., 971507900000)
(E.g., 971-20-6145555)
( * Mandatory Fields)
(E.g., National Seminar on Tuberculosis)
   (E.g., To spread awareness on importance of Healthcare)
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You have entered
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Start Date
End Date
(E.g., Doctors, Physiotherapists etc.)
(E.g., 500)
( * Mandatory Fields)
Package1 Package2 Package3 Package4 Package5
Sponsorship Package Categories*
Benefits of Package *
Amount Requested in AED *
Confirmed Sponsors and their packages
Sponsor Name Package
Upload supportive documents
  (Overall size of all files should not exceed 3 MB (3072 KB))