Organ Donor Card

The Organ Donor Card acts as a document that would help you express your willingness to be an organ donor after death, similar to making a will.

By signing the 'Donor Card' you have pledged to donate your organs after your death.

What to do next?

Keep the Donor Card with you at all times, in your purse or wallet
Inform your close relatives about your wish to be an organ donor
The Donor Card also serves as an emergency card as it has the name and number of your emergency contact

What you must know about the Organ Donor Card?

Organ Donation can happen only after death and does not carry any financial rewards
Organ Donor Card is not a living donor card; there are no living donor cards
A person pledging to donate organs has the option to withdraw the pledge at any time by writing to us at [email protected]

Kindly note that the donor card is symbolic of expression of your wish and serves as a conversation starter amongst your family members. It is not a legal document and the family has the right to make the final decision. You can change your wish anytime. While the choice of organs/tissues indicated in this online form is not exhaustive (there are many more tissues that can be donated), however you can choose to donate all parts of your body by checking the option 'Any part of my Body'.

Note - MOHAN Foundation will not post a hard copy of the donor card. An organ donor, who has registered online, can print their donor card soon after submission or can print later by using the link provided in our automated acknowledgement mail.

Donor Card - Registration Form

Personal Details :-

Country* :

First Name* :

Maximum 15 characters

Last Name* :

Maximum 15 characters

Age* :

Gender* :

Male

Female

Transgender

Blood Group* :

Organs that I wish to donate* :

Any Part of My Body

Corneas

Kidneys

Heart

Lungs

Liver

Pancreas

Address* :

City* :

District:

Pincode* :

State* :

Email* :

Mobile* :

Phone :

Country Code/City Code/Phone No.

Your Email or Mobile Number Already Exists. Please contact the admin for further details. Email:[email protected]

Emergency Contact Person Details :-

Name* :

Maximum 15 characters

Relationship* :

Address :

City :

State :

Email :

Mobile* :

Phone :

Country Code/City Code/Phone No.

Select the Language for Donor Card* :

My information may be shared with the National Organ and Tissue Transplant Organization (NOTTO) Registry*
Yes No

Note:The central government has established a National Organ and Tissue Transplant Organization (NOTTO) under the Ministry of Health and Family Welfare, Govt. of India to coordinate all the organ donation activities in India. NOTTO has initiated a National Registry of Organ Donors and has requested MOHAN Foundation to send our registry to be incorporated in the central registry. We shall be sharing the information provided by you to the national registry.

I understand that this pledge is for donation of my organs after my death and has NO FINANCIAL REWARDS.

I understand that this is NOT LIVING DONOR CARD and there is no such thing as a living donor card.

* Security Code

Add Numbers

* Fields are Mandatory

Note: The information which 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.

# Incase of any difficulties in filling this online form, write to us at [email protected]