In the hope that I may help others, I hereby make this anatomical gift, if medically acceptable, to take effect upon my death. The words and the marks below indicate my desire. I give my eyes for the purpose of transplantation, medical research or education. I further direct my next-of-kin herein to execute this gift after my death. I would like my next-of-kin notified of my pledge to donate.
| *Name Of Donor:
Mr. Ms. Mrs. Dr. |
| * Address Of the Donor |
| * Ph. No. Of Donor |
| *Blood Group Of Donor |
Kindly request your kith and kin to carry out your wish to donate your eyes following your demise.
We have an estimated 4.6 million people with corneal blindness that is curable through corneal transplantation with eyes received by us as donations. Out of this, an estimated 4.6 million are 90% of the people with corneal blindness are below the age of 45 years including some 4.5 million below the tender age of 12.
More than 90% of the corneal transplantation is carried out successfully in restoring vision to people with corneal blindness. Including infants born with cloudy cornea, corneal transplantation can make a big difference to the rest of their lives. Your beloved ones thus live and light up the lives of others even after death.
The relatives of the deceased person can donate the eyes of their beloved ones immediately after the death. The eyes need to be collected within six hours of death.
Download Eye Donation Form