Eye Donation Makes a Difference

No one deserves anything less than the full experience of living a life with a clear vision. Say “YES” to Eye Donation and Sign-up to be a Donor.  Please fill the pledge form and click on the submit button. We will register you as an Eye Donor and provide you with an individual Eye Donor Card. Share your decision to donate your eyes with your family and friends so that they can do the needful at the time of your death.

The information that you enter in the form below is confidential and will only be used for the purpose of eye donation and will not be shared/used for any other purpose.

  • DD slash MM slash YYYY
  • DD slash MM slash YYYY


  • Dial the Dr. Rajkumar Eye Bank (+91-9741685555, +91-80-66121300-1305, 1400-1404) or Shankar Anand Singh Eye Bank (+91-9902821128 or +91-80-66660655-0658) within 6 hours of death.
  • Close eyes of the donor and place wet cotton swab on closed eyes.
  • Switch off the fans and keep the air-conditioner or cooler on.
  • Raise the head with the help of a pillow.