New Donor
උපදෙස්
Infomation
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දායකයින් ලියාපදිංචි කිරීමට උපදෙස්
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Donor Registry Information
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New Donor Registry Information
Consent form for the Donation of Eyes and Tissues
Here with I am giving consent to donate my Eyes and Tissues for clinical use
and medical research, in accordance with the Cornea Graft Act. No 38 of
1955 and Human Tissue Transplant Act No 48 of 1987.
Name
Mobile
NIC
Date of Birth
Gender
Female
Male
District
Ampara
Anuradhapura
Badulla
Batticaloa
Colombo
Galle
Gampaha
Hambantota
Jaffna
Kalutara
Kandy
Kegalle
Kilinochchi
Kurunegala
Mannar
Matale
Matara
Monaragala
Mullaitivu
Nuwara Eliya
Polonnaruwa
Puttalam
Ratnapura
Trincomalee
Vavuniya
Address
Type
Eyes & Tissues
Eyes
Tissues
Nominee
Nominee-Mobile
Email