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Form 7 - for Organ/Tissue pledging
To be filled by individual of age 18 years or above
* Indicates required question
Email
*
Your email
National Organ & Tissue Transplant Organisation
4th Floor, Sriramachari Bhawan,
VMMC & Safdarjung Hospital Campus
New Delhi-110029.
NOTTO Helpline -
1800-11-4770
Website: https://notto.gov.in
Email: dir@notto.nic.in
Name of the person for pledging
*
Your answer
Relation
(any one)
*
Son of
Daughter of
Wife of
Relation's name
(SON OF/SPOUSE OF/DAUGHTER OF)
*
Your answer
Gender
*
Choose
Male
Female
Others
Date of Birth (dd-mm-yyyy)
*
Your answer
Blood Group
Choose
A+
A-
B+
B-
AB+
AB-
O+
O-
Email ID
*
Your answer
Mobile Number
*
Your answer
Residential address (please mention State, District and Pin code also)
*
Your answer
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