Eye Donation Pledge Form
In hope that I may help others, I hereby make this anatomical gift, if medically accepted, to take effect upon my death. This statement below indicates my desires:
I give my eyes for the purposes of traspantation, Therapy, Medical research or education.
     
Name : Please enter a name.
Age :
Full Address :
Phone no. : A Phone no. is required.Invalid format.
Date of birth :
     
   

Eye Donation

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Name - Akola Netradan and Netraropan Sanshodhan              Kendra, Akola.
Name of Bank -              ICICI BANK
ADDRESS        -              TILAK ROAD, AKOLA.
A/c  No.           -              696801411929
IFSC code       -              ICIC0006968
Note – Donations are exempted u/s 80 G of Income Tax Act.