Take the Pledge

Complete your details and upload your placard in one step.

Your Pledge

“I pledge for Strong Bones – for my patients, for a healthier India.”

Your Details

Tell us about yourself and your Medical Representative.

Full Name *

Speciality *

Email ID *

Cell Phone *

State *

City *

MR Employee Code *

Enter the employee code provided by your Medical Representative.

Placard Photograph

Upload a clear photo of yourself. It will be placed on the pledge card with your details and counted toward India's Pledge for Strong Bones record.

Upload Photo * Choose a file or drag & drop Your photo and details will appear on the pledge card

Accepted: JPEG, PNG, WebP. Maximum size: 2 MB.

I consent to my registration details and placard photograph being collected and used for the Pledge for Strong Bones / WBR campaign, and confirm that the information provided is accurate. *