| Name |
|
| Date of Birth |
Date of birth will not be shown to others. It's only for calculating your age.
(min: 18 yrs max: 55 yrs) |
|
|
| Blood Group |
|
| Gender |
Male
Female |
|
|
| Mobile No. |
|
| SMS Alert |
You will receive an alert on your mobile when there
is a request for your blood type within your city. |
|
|
| State |
|
| City |
|
| Area |
|
|
|
How often have you
donated blood in the past? |
|
| Weight |
Kgs |
| Date of last blood donation |
|
|
|
|
