Eye Donation Registration Form
| Full Name |
Jitender |
| Gender |
Male |
| Date of Birth |
1995-03-01 |
| Mobile Number |
7053400328 |
| Address Details |
H No X-19/5, Street No 8, Brahmpuri, Ghonda, North East, Delhi |
NOTE:
The details has been prepopulated from Aadhaar / ABHA Service. Any modifications in the details can be reflected only after updating Aadhaar / ABHA.
Note: (i) Eye Donation is a family decision. Therefore, it is important that you discuss your decision with family members and loved ones so that it will be easier for them follow through with your wishes. (ii) The
pledger has the option to withdraw the pledge at any time during their lifetime.
