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Eye donation pledge campaign 2013
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Particulars of the Organisation
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Name of the Organisation
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Address of the Organisation
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Contact person Name
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Contact person designation in your organisation
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Contact person mobile no
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Contact person or your e mail id
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Proposed date (s) of the campaign
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Place of the campagn
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Expected no of pledge forms in hard copy are requireda
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Name of the respondent
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Designation of the respondent
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Contact no of the respondent
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Date of respondent
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