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Letter of Intent for the purpose of joining the 1MG OPD Insurance Network.
Email address
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Mobile Number
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Name of the Doctor
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Age
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Address
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Speciality
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MCI Registration Number
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Fees
This Memorandum of Understanding (“MoU”) Is between
1MG Technologies Private Limited
a company incorporated under the provisions of Companies Act, 2013 having its registered office at Level 3, Vasant Square Mall, Pocket V, Sector B, Vasant Kunj, New Delhi-110070 and corporate office at Tower -B-46/4, 5th floor, Presidency Building, Mehrauli Gurgaon Road, Sector-14, Gurugram, Haryana 122001 India hereinafter called 1MG/Company, which expression shall unless it be repugnant to the subject or context means and includes its successors-in-interest and permitted assigns)
OF THE ONE PART AND
The Doctor whose details are as mentioned above acting through self (hereinafter referred to as the “Doctor” which expression shall, unless it be repugnant to the context, include his heirs, successors, and permitted assigns) of the OTHER PART. (The Company and the Doctor shall hereinafter collectively be referred to as the “Parties” and individually as a “Party”, as the context may require).WHEREAS
1.The Company is engaged in the business of providing technology enabled healthcare services such as health information services, lead generation for healthcare services and other such business undertaken by the Company from time to time. The Company operates and manages www.1mg.com.
2.The Doctor is a registered medical practitioner as defined under Rule 2 (ee) of the Drugs and Cosmetics Rules, 1945 authorized to practice medicine in India.
3.The Doctor is desirous to be engaged with the Company, for formation of OPD network for providing medical consultation services to the Insurance Companies/ Policy holder, on the agreed terms and conditions.
PARTIES AGREE AS FOLLOWS:
(i)Doctor holds specialisation as mentioned above.
(ii)Doctor hereby gives his consent for being signed up on the OPD network for providing medical consultation services to Insurance Companies/ Policy holder, as per the agreed terms and conditions. Doctor further authorities the Company to undertake reasonable steps and actions with the Insurance Companies for joining the proposed OPD network.
(iii)The fees shall remain the same for a year.
(iv)Doctor hereby acknowledges and confirms that the Medical registration number as specified above and other details provided in the Doctor On-boarding form* licenses, registration certificates etc held by him including other documents/ information’s to be shared subsequently are true and accurate. Doctor On-boarding form contains the following details Medical Registration number Image, Images of relevant degrees, Image of Letter head of Doctor self attested, Image of Pan Card, Image of Cancelled cheque.
I hereby acknowledge and declare that the information provided above is authentic and accurate.