"Gift Life, pledge now and make a difference to 50 lives" Pledge Now!

ORGAN PLEDGE FORM

This Form is in accordance with the Transplantation of Human Organs Act 1994.
Fields marked with * are mandatory.
  1. note - please fill in the complete postal address as the pledge cards will be sent by post
  2. Witness 1

    Disclaimer: As the family decision is the final decision when it comes to organ donation, we would be sending an automatic email to your witness to inform them of your decision to gift life!
  3. It is necessary for one of the witnesses to be a close family member.
  4. Witness 2

  5. Hold Ctrl. Key to select multiple options.
  6. Terms & Conditions

  7. I hereby unequivocally authorize the removal of my organ / organs, mentioned above from my body after my death for therapeutic purposes.
  8. I hereby confirm that I am aware of the importance of having the witness signature on the Pledge card, and I take full responsibility for its implementation
  9. I hereby confirm that all the above information is right and I choose to pledge my organs being in the sane state of mind.
  10.    I accept terms & conditions *

  11. Please type the Verification Code as you see above.

Pledgers Testimonials

Kishore Chhabria
'GOOD THINGS HAPPEN TO GOOD PEOPLE & GOODNESS IS FOR SHARING....Lets be truly grateful for every breath & every healthy day that we get to spend in a very taken for granted manner. A True Blessed Pledge Indeed ! Thanks for the Initiative & the Opportunity ! God Bless One and All ! '

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Sumit Gupta
"I have pledged my organs because I know my organs can save a few lives after my death. I can live through others after I am gone. We can all turn the unfortunate incident of one's death into a new beginning for many lives, so let us all do it. Thanks for providing the opportunity to me."

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Jerry Martin
One day a man was walking along the beach when he noticed a boy picking something up and gently throwing it into the ocean. Approaching the boy, he asked, "What are you doing?" The youth replied, "Throwing starfish back into the ocean. The surf is up and the tide is going out. If I don't throw them back, they'll die" "Son," the man said,

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Anupama Sharma
I want to live after I die and 'Gift Your Organ' will help me do that. Don't lose out on this opportunity. It is always greater to give than to receive, and what better gift to leave when you are dead, than a life to someone else.

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Rashmi Kewlani
Celebrat Life! Care for others and share whatever you have with those less fortunate than you. This is what i believe in and what has made me pledge my organs.

I have experienced an internal bliss and happiness after I've pledge my organs. It gives me great satisfaction to know that my organs can be of use to others once these are of no use to me.

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Deepak Jumani
Gifting of my organs will help more than one human being. My organs not only helped me live my life. I hope these can also help many more to live their life again.

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Vijay Chugani
Science has really progressed and we must all do our bit to support life. I have pledged my organs because I truly believe that once I don't need my organs, these can be used to save another life/lives.

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Dilip Kukreja
This is a pledge, A pledge that has a potential to impact 1 million and more lives annually. One pledge that is exactly like a drop in the ocean, into this ocean that gives life. Let's all pledge and make this ocean large enough to gift lives till eternity. Do give your pledge too. Gift Your Organ Towards no loss of Life due to want of donors.

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Vandana Tanna
Here's a simple formula to Make Yourself Immortal: Gift Your Organs! Gift yourself Life after Death ... Live through somebody else... As the famous Raj Kapoor song goes...

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Dheeraj Thakur
As I pledged my organs on the 'Gift Your Organ' website, I just realized 'YEH ZINDAGI MILEGI DOBARA :)'

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Aishwarya Jayaraman
My eyes deserve to see the world longer. My heart deserves to beat longer. so do all my organs.. To help someone live longer and stronger

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