Medical Camp Permission Application

Organizer Name / Organization

Organizer Address

Organizer Mobile Number

Organizer Type

Type of Camp

Preferred Location

📍 Location on Map (Click 'Use Current Location' or drag marker)

ℹ️ Note: Please ensure the marker is placed exactly at the Medical Camp location. You can drag the marker to adjust.

Lat: 0.00, Lng: 0.00

Start Date

End Date

Description of Services

Attach Verification Documents

📄

Registration / License Copy

.jpg, .pdf (Max 500KB)

🪪

Lead Doctor/Organizer ID

.jpg, .pdf (Max 500KB)

Medical Camp Permission