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UAN:
0800-44441
About
Vision
LRBT A Beacon Of Hope
What We Do
Facilities
LRBT Locations
LRBT Community Eye Care Services
Eye Care Plus Project
Cornea Bank
Community Health
LRBT Skill Development
Post Graduate Training of Doctors
School of Paramedicine
Quality Eye Care
Achievements at a Glance
Board of Trustees
Recognition & Accolades
How You Can Help
Donation Methods
Sponsor a Surgery
Endowment
The Islamic Perspective
Cornea Donation
Donate Zakat Online
Volunteers
Chapters
UK
USA
Canada
Latest
Milestone Patients
News & Events
Blog Story
Photo Gallery
Video Campaigns
Download
Annual Reviews / Financials
Flyers
Newsletters
Careers
Contact
Contact
LRBT Locations
Feedback
Donate Online
Search for:
Search Button
Search for:
Search Button
UAN:
0800-44441
About
Vision
LRBT A Beacon Of Hope
What We Do
Facilities
LRBT Locations
LRBT Community Eye Care Services
Eye Care Plus Project
Cornea Bank
Community Health
LRBT Skill Development
Post Graduate Training of Doctors
School of Paramedicine
Quality Eye Care
Achievements at a Glance
Board of Trustees
Recognition & Accolades
How You Can Help
Donation Methods
Sponsor a Surgery
Endowment
The Islamic Perspective
Cornea Donation
Donate Zakat Online
Volunteers
Chapters
UK
USA
Canada
Latest
Milestone Patients
News & Events
Blog Story
Photo Gallery
Video Campaigns
Download
Annual Reviews / Financials
Flyers
Newsletters
Careers
Contact
Contact
LRBT Locations
Feedback
Donate Online
Search for:
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Cornea Donation Will Form
Cornea Donation Will Form
shoaib@eteamid.com
2025-03-04T12:25:37+05:00
Cornea Donation Will Form
I solemnly pledge to donate my corneas to LRBT after my death for the purpose of giving the gift of sight to a blind person.
Name
نام
*
Age of donor
عطیہ کرنے والے کی عمر
*
Gender
عطیہ کرنے والے کی جنس
*
Please select
Male
Female
CNIC Number
کمپیوٹرائزڈ قومی شناختی کارڈ نمبر
*
Address
پتہ
*
Next of Kin Name
وارث کا نام
*
Relation to the donor
وارث کا عطیہ دینے والے سے تعلق
*
Contact Number
رابطہ نمبر
*
Email
ای میل
*
Have you informed your family
کیا آپ نے اپنے خاندان کو مطلع کیا
*
Mother
ماں
Father
باپ
Other Please specify
دیگر براہ کرم وضاحت کریں
Signature / Thumb print of donor
ڈونر کے دستخط / انگوٹھے کا نشان
*
Please attached CNIC copy with this form.
براہ کرم اس فارم کے ساتھ اپنے قومی شناختی کارڈ کی ایک کاپی اپ لوڈ کریں۔
*
Are you human?
*
Email address
*
Email address
*
Submit
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