In the hope that I may help others I hereby make this gift, if medically acceptable, to take effect upon my death. The submission in the form indicate my desires.

I give my eyes for the purpose of transplantation, medical research or education.

Title*

Name of donor*

Address of donor*

City*

State*

Date of Birth*

Age*

Pin code*

Mobile Number*

Email Address*

I further direct my next of kin, herein named, to execute this gift after my death.

Title*

Next-of-kin-Name*

Address of Next-of-kin

City

State

Pin code

Mobile Number*

Email Address

Contact Details

Ramayamma International Eye Bank

Kallam Anji Reddy Campus
L V Prasad Marg, Banjara Hills
Hyderabad 500 034
+91 - 40 - 68102514
(BSNL Toll free) 1919
rieb@lvpei.org
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Drushtidaan Eye Bank

Mithu Tulsi Chanrai Campus
Patia, Bhubaneswar 751 024
+91 - 674 - 3987102, 3987171
Contact Person : Mr. Niladri Bihari Das, Ms. Gayatri Nayak
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Mohsin Eye Bank

GMR Varalakshmi Campus
Hanumanthawaka Junction
Visakhapatnam 530 040
+91-0891-6714050
(BSNL Toll free) 1503
mohsineyebank@lvpei.org
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TKEB

Kode Venkatadri Chowdary Campus
Tadigadapa, Vijayawada 521137
+91-0866-6712042
tkeb@lvpei.org
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LVPEI's Hyderabad, Bhubaneswar, Visakhapatnam and Vijayawada campuses are NABH accredited

Donor Pledge

Contact Details

Ramayamma International Eye Bank

Drushtidaan Eye Bank

Mohsin Eye Bank

TKEB