Camp Registration Form

* This is a Cancer Awareness & Early Detection Camp for approx. 5,000 people of your nearby villages. Services include: Cancer Awareness (leaflets, lecture, videos) Mammography (Breast Cancer) Pap Smear (Cervical Cancer) PSA Test (Prostate Cancer) Oral & Throat Cancer Screening Bone Density Test CBC (Blood Cancer indicators) BP & Sugar Test General Medicines Guidance for suspected cases If required, we also provide Eye Screening with a separate Eye Bus (full eye check-up with doctor & technician). Our team will visit with 4 Cancer Screening buses (or 5 buses with Eye Screening) and 20+ medical staff.

Terms & Conditions

1. 1. Cancer Camp Cost: ₹1,75,000 (one day).
2. 2. Eye Screening Cost (optional): ₹75,000 extra — includes full eye exam inside the Eye Bus.
3. 3. Camp date will be fixed as per World Cancer Care’s available schedule.
4. 4. Requirements at site:
   • Parking for 4/5 buses (35 ft × 9 ft × 12 ft each)
   • Two rooms (each with 1 table, 4 chairs & 1 bed)
   • Five tables & fifty chairs for registration & medicines
   • Electricity: 10 KVA, single phase, 230V
   • Publicity 10 days before camp (announcements, banners, posters, media)

Please fill the form below and submit to us. We will call you back as soon as possible.