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Dr. Shroff's Charity Eye Hospital
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Make a Donation
International Association
Home > Eye donation > Pledge Your Eye
For more details..
.
Name of the Donor:
Age: ___
Sex:
Male
Female
Complete Postal Address:
Phone No:
_________________________
Mobile No (if any):
_________________________
E-mail Address (if any):
_________________________
Your donor Cards will be despatched within 10-15 days of receiving your fully filled Pledge Forms
.
Note
: In case you or your family members require more forms,
download the form
.
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