I Pledge My Organ

Our mission is to spread awareness about organ donation in India. The Donor Card helps people to express their wish, to become an organ donor. It is like making a will. By signing the 'Donor Card' you have agreed to organ donation.

Keep the Donor Card with you always in your purse or wallet. Keep your close relatives informed about your wish to be an organ donor. The Donor Card also substitutes as an emergency card as it has the contact number in case of any emergency.

Indian Medical Association (IMA) provides you with a printable format of the Donor Card in English.

My Personal Details:

* IMA Membership Number   
State Branch:
Local Branch:
* First Name:        Mr/Mrs/Dr  
 Middle Name:
*  Last Name:  
* Age:  
* Blood Group :
* Gender:
* Organs that I wish to donate upon my death :  
* Address:       Address where your FREE Donor Card will be mailed
* City:  
*  Pincode:  
*  Email:  
*  Mobile:  
 Phone:
 Upload your Photo:      Either Photo or Signature are mandtory
 Upload your Signature:

Particulars of Next-of-Kin/Emergency Contact - Title

* Emergency Contact Person:  Maximum 50 characters
 Email:
 *Mobile:   
 Phone:





  • Date/Time : 11/24/2017