+91 8075492364
transplantgameskerala@gmail.com
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About the Games
Venue
Regional Sports Centre, Kadavanthra
Jawaharlal Nehru International Stadium, Kochi
Lulu Mall, Edappally
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Donor or Donor Family Registration
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Donor / Donor Family Registration
Home
Donor / Donor Family Registration
Donor Type:
Type
*
Select Type
Donor
Donor Family (This is for family of cadaveric donors)
Personal Information:
Full Name
*
Date of Birth
*
Gender
*
Select Gender
Male
Female
Other
Email
*
Mobile
*
Address Line
*
State
*
Select State
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Ladakh
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
Location / Village / Town / City
*
Pincode
*
Donor Medical Information:
Organ(s) donated
*
Date of organ donation
*
Medical team or Physician Contact Name
*
Emergency Contact Information:
Emergency Contact Name
*
Relationship
*
Select
Parent
Sibling
Spouse
Friend
Emergency Contact Phone Number
*
Sports and Events Selection:
Sports/Events
*
5 kms Race Walk
200 Mtrs Race
Swimming
Table Tennis
Basketball Shootout
Carroms
Chess
Dart
Badminton
Bowling
T-shirt Size:
Size
*
Select Size
XS
S
M
L
XL
XXL
Donor Story:
A brief description of the donor's story, if you'd like to share it
Additional Comments or Requests:
Any additional information, special requests, or comments the participant wants to provide
Partners
Urology Association Of Kerala
Nephrology Association Of Kerala
Indian Society Of Gastroenterology
Cardiological Society Of India – Kerala Chapter
Society for Heart Failure and Transplantation
Kerala Liver Transplantation Society
Corporation of Kochi
K-SOTTO
Kochi Metro
Regional Sports Centre
GCDA
Lulu Mall
Kerala State Youth Welfare Board
LIFOK
