Have The Will To Pledge Pledge Form I s/o, d/o, w/o shri Age Address hereby unequivocally authorize the removal of my organ/organs from my body after my death for therapeutic purpose. EyeSkinOrgan Contact No: Email id: Relationship with donor: MotherFatherSpouseChildrenOther Please Specify Your Relationship Relative Name: Contact No: Email id: Date: Signature: You Will Receive The Following Fridge Magenet Donor Card Donor Certificate