Institution Registration

Join our network of healthcare institutions in Tamil Nadu

Institution Information

Please provide a valid institution name.
Please select a valid state.
Please provide a valid district.
Please provide exactly 10 digits for mobile number.
Please provide a valid email address.
Please provide the complete address.

Head of Institution Details

Please provide the head's full name.
Please provide the designation.
Please provide a valid email address.
Please provide exactly 10 digits for mobile number.

Notification Contact Person

Please provide the contact person's name.
Please provide the designation.
Please provide a valid email address.
Please provide exactly 10 digits for mobile number.

Your information is secure and will be used only for registration purposes.