IAPEN INDIA

🏢 Section 1 — Identity & Institute Details

Identity Code * Contact Avleen Kaur (Ph: 7302730805) if not already received.

Name of Institute *

Type of Institute *

Postal Address of the Institute *

Email Address of the Institute *

Website *

Name of Applicant *

Designation *

Contact Number *

Email ID of Applicant *

Highest Qualification *

Job Description * 50–100 words describing your role and responsibilities.

Bed Strength of the Institute *

Hours per Day in Dietetic Practice *

Dietetics Department Present? *

Yes No

Do Dietitians See All Patients? *

Yes No On Referral

🍽️ Section 2 — Food Service Details

In-House Patient Food Service? *

Yes No

Food Service System *

Centralized Decentralized

F&B Department Organogram Exists? *

Yes No

F&B Reports to Dietitian? *

Yes No

Dietitian Monitors Patient Food? *

Daily Sometimes Never

Patient Menu Planned by Dietitian? *

Daily Weekly Sometimes Never

Disease-Specific Menu Available? *

Yes No

Organoleptic Evaluation of Diets? *

Daily Sometimes Never

Evaluations Documented? *

Yes No

If YES — How is it Documented? Max 50 words.

🛡️ Section 3 — Food Safety & Hygiene

HACCP Protocol Followed? *

Yes No

FSSAI License Obtained? *

Yes No

Routine Microbial Food Sampling? *

Yes No

Water Contamination Testing Done? *

Yes No

Storage of Perishable & Non-Perishable Items * Max 50 words — describe both categories separately.

Pesticide Removal Process from Raw Material * Max 50 words.

Hygiene Maintenance Protocols * Select all that apply.

Personal Kitchen Store Serving System

Describe the Hygiene Protocols Chosen * 50–100 words.

📦 Section 4 — Food Delivery & Quality

Food Served to Patients In *

Served Plate (Open) Served Plate (Closed) Insulated Tiffin Bedside

Food Service Caters to Conferences? *

Yes No

Cuisines Served to Patients *

Indian Chinese Continental Others

Percentage of Food Wasted *

<10% 10–20% 20–30% 30–40% >40%

How is Food Waste Disposed? * Max 50 words.

Protocol for Patient Food Complaints * Max 50 words.

Awards / Recognition for Hospital Food Service Management If YES, provide details of awards received during 01-01-2021 to 31-12-2022.

✅ Section 5 — Declarations

All four declarations below are mandatory. By checking each box you confirm agreement.

We state that all information provided is true and we can produce proofs to validate our credentials. *

My team will allow the IAPEN representative to examine the information provided as a fact-check process. *

I or my team will deliver a PowerPoint presentation in the prescribed format before the Jury when asked. *

If discrepancies are found, IAPEN INDIA Excellence Award Committee reserves the right to disqualify our nomination and recall the award. *

Ensure all required fields are completed. No changes accepted after submission.

🏆 Excellence Awards 2023

Company

More Info

Useful Links