Vision Hub
Hospitals
Volunteers
Organisations
Influencer
Eye Bank
Donor
Pledge Your Eyes
Pledge Your Eyes
Pledge Your Eyes
Home
Pledge Your Eyes
I PLEDGE
To donate my eyes, trusting that this simple act can restore a world of colour for someone.
Personal Details
Select Gender
Male
Female
Other
Contact Details
Family Members to be Informed of This Pledge
Declaration by the Donor
I willingly pledge to donate my eyes after my death.
I have informed my family and listed their details above.
I understand that this pledge is voluntary and can help restore vision for someone in need.
I give permission for my information to be shared with relevant medical authorities for the purpose of eye donation.
Upload Signature / Thumb Impression
Submit Pledge
