Life Angel UNSDG Organ Donation Appreciation Program

Online Web Application Form (Corporate/Organizations/Schools)

Please provide the following information :
Name of Company/Organization :
Nature of Organization/Company :
Name of Contact Person :
Title :
Address :
Telephone Number :
Fax Number (if any) :
Email Address :
Will you encourage your staff/members to be “Life Angel” Ambassadors, who refer 8 people to sign up as organ donors on Centralized Organ Donor Register of Department of Health and inform their family of their decision to be an organ donor?
Will you participate in the Organ Donation Promotion Campaign by signing the Organ Donation Promotion Charter launched by the Department of Health
We DO! We DOnate!!