KOL Nomination Application
Complete all sections. Section 07 is optional for field reps — SD/NSM can endorse from the All Nominations tab after submission.
1Sales Manager (& Above) Submits
2SD / NSM Endorses
3MD Approves
4DD Marketing Allocates
01
Recommender Details
02
Surgeon (KOL) Details
03
Focus Therapy / Product
04
Eligibility Gates - All must be Yes
Gate A - Therapy
On Arthrex priority / innovation / growth list
Clearly differentiated vs competition
Demonstrable patient-outcome benefit
Suitable for cadaveric demo at ArthroLab
Gate B - Surgeon
Complete Arthrex supporter (exclusive / dominant)
No competing-brand endorsement / no conflict
Patient-willing; no regulatory or ethics flag
Active practice with current case volume
05
Rationale
06
Sales Team Promotion Plan
Select all channels through which you plan to promote this KOL:
07
SD / NSM Endorsement (optional if field rep submitting)
If the Sales Director or NSM is filling this form directly, complete this section and tick the consent checkbox before submitting.
If a field rep is submitting, leave this blank. Manish Gautam or Praveen Raghavendra will endorse it from the All Nominations tab after reviewing.
All Nominations
Live approval pipeline: Field Rep submission → SD/NSM Endorsement → MD Final Approval → Marketing.
0
Total
0
Awaiting SD/NSM
0
Awaiting MD
0
Approved
No nominations yet. Be the first to submit!