World Mammogram Day Free Screening Registration
Estee Lauder Companies in partnership with Faraja Cancer Support Trust is offering free mammograms for 70 women from Monday, 23rd October 2023 at 
Dr. Rasik Kantaria Jalaram Medical Services along Jalaram road opposite The Oval. 



PLEASE NOTE

Not all mammograms can be done on the same day. We will  therefore allocated days from Monday  23rd October to Sunday 29th October 
Email *
Full names  *
Mobile Number *
Have you previously done a mammogram?
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If answered yes above please let us know when *
Kindly confirm your age currently. *
Please confirm which day you would like to have your mammogram done at Dr. Rasik Kantaria Jalaram Medical Services *
Please note that Faraja Cancer Support Trust is not liable to pay any added treatment with regards to the results of the mammogram. This includes: scans, tests, doctors consultation etc. This is a free service offered as part of Breast Cancer awareness month in partnership with Estee Lauder Companies (ELC). ELC and Faraja is therefore indemnified from any injury, damage, reaction as a result of taking part in this free exercise. Kindly sign your full name and ID number as confirmation that you have read and understood the terms stated above.
Date you are registering?
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