Organ Donation Registration

Join the Shine India Foundation pledge — a secure, confidential and compassionate way to register your intent to donate organs.

Country

First Name

Last Name

Age

Gender

MaleFemaleOthers

Blood Group

Organs I wish to donate

Address

City

District

Pincode

State

Mobile

Phone (optional)

Note

The information you are entering in the above form is confidential and will be used only for purpose of organ donation and transplant processes and will not be shared/used for any other purpose.