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BLOOD DONATION REGISTRATION FORM

Gender*
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Blood Group*

Contact Information

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Select District* :

Please confirm your availability to donate blood* :
I authorise the website to display my name and telephone number, so that the needy could contact me, as and when there is an emergency.*

WISH TO DONATE BLOOD? REGISTER AS VOLUNTARY BLOOD DONOR
குருதியை கொடு பலரின் இறுதியை தடு
If you’re a blood donor, you’re a hero to someone, somewhere, who received your gracious gift of life.To the young and healthy it’s no loss. To sick it’s hope of life. Donate Blood to give back life.