Membership

Breast Cancer survivors, their relations, social workers and health professionals, who are willing to serve or assist for the cause of breast cancer, are welcome.

Membership subscription is Rs. 1,000/- for lifetime. All volunteers serve in honorary capacity.

KOSHISH
Mastectomy Association of India-Jaipur Chapter
Society Registration No. 496


Postal Address: Jwala Building, Ist Floor, C-21/A, Bhagwan Das Road, Jaipur (Raj.) India
Phone: +91-141-2364883, Mobile: +91-9414063699

LIFE MEMBERSHIP FORM
Name:
Age:    Occupation:
Address (Office):
Tel. (Office):
Address (Residence):
Tel. (Residence):
E-mail:
Payment Details
Amount (Rs.):   Payment Mode:
Cheque/DD No.:   Dated:
Bank:
Message:

Centre of activities: Stan Cancer Rogi Seva Kendra, Radiotherapy Department, S.M.S. Hospital, Jaipur, (Raj.) India
Days: Mondays to Fridays   Time: 9.00 AM to 12.00 Noon (Summer) & 10.00 AM to 1.00 Noon (Winter)

We all are prone to disease but early detection is the right key!!