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