Gratitude within, abundance begins
On the 75th birthday of Shri Pralhad Wamanrao Pai, join us in celebrating and honoring his life‘s remarkable journey and service.
Logo
Gratitude within, abundance begins
On the 75th birthday of Shri Pralhad Wamanrao Pai, join us in celebrating and honoring his life‘s remarkable journey and service.

Organ Donation Form


Jeevanvidya Mission 's

Organ Donation Campaign


Public Health Department, Government of Maharashtra and Zonal Transplant
Co-ordination Centre (ZTCC)


Let's Pledge To Save A Life : A Gift for Life

First Name *

Middle Name

Last Name *

Age *

Address*

City*

Pin code*

Email ID *

Contact Number *

+91

Whatsapp Number *

+91

Relative Name *

Relative Contact*

+91