Enroll as a Voluntary Blood Donor

Name

Blood Group

- None -A+veB+veO+veAB+veA-veB-veO-veAB-veBombay+veBombay-veA1+veA2+veA1B+veA2B+veA1-veA2-veA1B-veA2B-ve

Mobile Number

E-mail

Gender

- Select -MaleFemaleOther

Address

PINCODE

How many time have you donated blood?

Date of last donation?

Have you ever been deferred from donating blood? If yes, why?

Do you wish to donate blood regularly for children suffering from thalassemia?

- Select -YesNo

Read more http://www.sankalpindia.net/sankalp-program-for-thalassemia-management 

Would you like to donate platelets by apheresis method?

- None -YesNoI Donate Platelets

Read more http://www.sankalpindia.net/book/platelet-apheresis-complete-guide

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