Name*  
Email*
Mobile
Department
Comments*
facebook twitter
help someone » donate online / offline
Thank you!
We appreciate your desire to help someone. Please follow the instructions given below in Order to make donation.

Instructions:
- Kindly select the surgeries you would like to support. You can choose any number of surgeries you want to support.
- Now please fill your personal details and click the "Proceed to donate online" option for credit card payment and "Proceed to print form and donate offline" button to print the filled form and send us offline payment by cheque/DD. Payment has to be made in favor of Dr. Shroff's Charity Eye Hospital.
- If you have any concern about security of online transaction then you can refer to our security policy at the end of the page.
- We only accept remitted in Indian currency, for current exchange rate please click here.
- Please check with your bank for the exact conversion rates as there might be a small variation due to administrative charges as levied by different banks.


1. Sponsor Cataract Surgery of a poor patient who has no access to eye care through conventional technique @ INR 1,500.00 per surgery x No. of surgeries = INR 0.00
2. Sponsor Cataract surgery through phaco (stitch less) surgery for best vision of a poor patient having Cataract @ INR 2,800.00 per surgery x No. of Surgeries = INR 0.00
3. Sponsor sight saving surgery for a poor child @ INR 5,500.00 per surgery x No. of surgeries = 0.00
4. Sponsor Cornea Transplant surgery and save someone from complete blindness @ INR 10,500.00 x No. of surgeries = 0.00
5. Sponsor Retina / Glaucoma Surgery @ INR 15,000.00 x No. of Patients = 0.00
6. Sponsor Eye Cancer Treatment / Surgery (Part Funding) @ INR 9,000.00 x No. of Patients =0.00
7. Sponsor Ear Surgery (Tympanoplasty) to prevent a poor person from total deafness @ INR 2,800.00 per surgery x No. of surgeries = 0.00
8. Sponsor Complicated ENT surgery @ INR 10,000.00 x = 0.00
9. Sponsor Hearing Aid / Visual Aid @ INR 3,500.00 x No. of Aids = 0.00
10. Sponsor Camps @ INR 6,000.00 per camp x = 0.00
11. Sponsor Food for 10 patients @ INR 100.00 per patient x No. of Patients = 0.00
12. Sponsor any other INR 

Total Amount : INR 0.00

Personal Details :

Name*
Occupation
Address
Phone / Mobile*
Email*
Remarks/Comments

Impact Stories
  • My son will see - Overnight the pupil of the left eye of a 6 month baby turns white. Imagine the plight of its parents. Parents , who because of their poverty could not even dream of taking their child to see a good ophthalmologist. Read More...

  • I can see my grandchildren - Grand children are a source of unadulterated joy for old people. Imagine not being able to see them and play with them. Or for that matter becoming slowly dependant on others for even day to day tasks. Read More...

  • A Bright future for shivani - BalakRam, a landless labourer from Hardoi District of Uttar Pradesh has to support a family of five on a monthly income of Rs.2000 ($40). Balak Ram first realized that his youngest daughter, Shivani had a problem... Read More...

  • Samarath gets a new life - Imagine a child having retinoblastoma (cancer) of the eye. And the plight of the parents can be imagined that absence of treatment would lead to certain death for their child. Samarth, the only child of a poor... Read More...