Donate Hair

Read before you proceed
*By filling up this application, you are going to electronically sign the declaration below.


I hereby solemnly declare that I wish to donate my hair without any compulsion and this is completely a service oriented program, any person/institution will not be obliged to me for any kind of consideration for my donation either in cash or in kind.

In case of you being minor, this is an agreement made by your parent/guardian and hence have them a look at this.

Your hair donation is a gift to the chemo patients who are facing mental and physical trauma due to cancer. We will be using your donated hair to make wigs for the patients, who are undergoing treatment. It will be issued free of cost and will inspire them to get a new outlook in their life. So please be a part of this, which will be a diminutive contentment in their life.

Instructions for donating hair

  1. Wash and cleanse your hair nicely.
  2. Tie your hair in pony tail.
  3. Cut your hair just above the pony tail.
  4. Length of the hair should be more than 15 inches (below 15 inches are not usable or acceptable). If the length is less than 15 inches, wait the hair to grow until it is 17 inches or more.
  5. Dandruff / damaged / chemically treated hair are not recommended or used.
  6. You can send the hair by speed post or courier in the below address.

    Fr. Alex Praikalam, CMI

    Director, Sargakshetra

    Kurisummoodu P.O., Changanacherry

    Kerala, India

    PIN - 686104

    Mobile: 9496464118

  7. Please fill up the below and submit with appropriate postal address and mobile phone number to get a Certificate of Appreciation from us.
  8. For any further details, you can e-mail us at,
  9. For latest updates you can "Like" our facebook page
  10. Please send us a photograph OR upload a photograph in the below form for us to post it on our Facebook page for motivating and inspiring others.
  11. Please save the mobile number +91 9496464118 in your mobile for getting latest updates from us.
  12. You also have an opportunity to support a cancer patient by donating a wig, by providing wig making charges / cost to us.
  13. If you know any cancer patient in your locality who is suffering or in need of wigs, you can inform us and we will provide all possible help to them.
Donor's Information
Special Interests, if any
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I hereby allow HATIndia to use this image to motivate others by publishing it in Social Media Networks / Other media.