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Ayuwinn Health Care Foundation - Empowering Communities
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Partner Registration

Add new healthcare partner (Hospitals, Clinics, Labs & more)

CREATE MODE Secure form
1. Partner Details
2. Address Details
3. Contact Details
4. Service Availability
5. Discount Commitment
Maximum allowed discount: 50% Partners can set up to 50% discount
Documents Upload
PNG, JPG up to 2MB
Registration certificate / License
Passport size or ID proof photo
Uploaded documents will be verified by admin. Leave empty to keep existing files during update.
Declaration

By submitting this form, you confirm that all information provided is accurate and complete. Any misrepresentation may lead to rejection of registration.

Cancel & Go Back
Secure & encrypted | All communications are confidential