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Grace Kennett Foundation Hospital

8, Kennett Road Madurai,
Tamil Nadu, India

gkfindia@hotmail.com
info@gkfmadurai.in
adopt@gkfmadurai.in

+91 452 2601767
+91 452 2601849

+91 94898 18494
+91 95854 40401
+91 99434 50401
+91 91591 40401

www.gkfmadurai.in

Grace Kennett Hospital

8, Kennett Road Madurai,
Tamil Nadu, India

gkfindia@hotmail.com
info@gkfmadurai.in
adopt@gkfmadurai.in

+91 452 2601767
+91 452 2601849

+91 94898 18494
+91 95854 40401
+91 99434 50401
+91 91591 40401

www.gkfmadurai.in

Skin Donation Pledge Form

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I agree to PLEDGE my SKIN, by Donating my SKIN after my Death. I grant permission for the recovery of my SKIN for purposes of Transplantation and Research.(Required)

I agree to PLEDGE my SKIN, by Donating my SKIN after my Death. I grant permission for the recovery of my SKIN for purposes of Transplantation and Research.

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(* Next of kin need to be a close relative, over 18 years of age)

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Grace Kennett Foundation Hospital

Grace Kennett Hospital

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