Regd. No. Mum/00201/2501/NA

Pledge Registration Form

Keep calm and donate your life
v4organs

Pledge Registration

Gender :
Male
Female
We will be catering to these few Districts
Entire Body : Yes
Organs : All
Tissues : All
Witness 1
10 Digits
Witness 2
10 Digits
"Photo lower than 900 kb as well as 1000 pixel ( may use Photo Compress free App from play store or else forward your photo to us on WhatsApp No 9820078273 , we will compress photo free in a day and forward to you)"