Testimonial / Story Submission Form - QMed Knowledge Foundation

We would be very happy to receive a testimonial from you, in the form of a short text, short story or a Video. Any of these could describe

A learning experience from QMed (lecture or workshop)
Impact of going through the learning. You could write to us about a month or so of learning from us to say how you experienced changes or got good results
Or you could describe QMed's work and can talk about its importance

Maximum recommended length:

Text testimonial: 70 words
Story: 200 words
Video: Two minutes (Check the size of your video, the instructions to upload vary with file sizes)

Personal Details

Name *

Email *

Phone no *
Will be used only for important communications

City*

You are *

Specialization

Have you attended any of the following? *

If your testimonial is for a lecture or workshop - please tell us where or when you attended the same

Would you like to provide a *

Testimonial Details

Your Testimonial *

Story Details

Your Story *

Video Testimonial Details

Your Video Testimonial

Upload FileFile Link

Upload Video File if file size is less than 5 MB and file format is mp4 / mov / avi (Please choose "File link" if above 5 MB)

Paste File Link if file size is more than 5 MB and file format is any other format

Your Photo *

Please note: When you click Submit - you consent to having your testimonial / story / Video displayed on our website, with your name, current professional status and specialization displayed

Will You Be a Catalyst for India's Medical Research Revolution?

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