Gift Hair, Gift Confidence - Consent Form Name of the Donor Age Address Mobile number Email ID How did you hear about us WebsiteMediaFriendOther Other In order to track your donated hair, please provide the Details of the Name of the Courier Company and its Track Number Would you like to receive The Cherian Foundation Newsletter through email to know about our charity activities? YesNo Have you donated before YesNo If yes, Please Specify Can we have your consent to publish your name, photograph and comments in our website or in our social media? YesNo If yes, Upload your Photograph Choose file No file chosen jpg,jpeg,png COMMENTS DECLARATION I hereby confirm that I willingly agree to donate my hair to The Cherian Foundation, Hair Donation Campaign with the intention for the collected hair to be turned into wigs for marginalised cancer patients undergoing Chemotherapy
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