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Donors
Register As a Blood Donor
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Name
*
Email
*
Phone Number
*
Upload Your Photo
Instagram Username
*
Blood Group
*
Select Your Blood Group
A+
B+
O+
AB+
A-
B-
O-
AB-
Location
*
What is your Age?
Date Of Birth
Do you smoke on a Daily Basis ?
Yes
No
Do you consume Alcohol on Daily Basis ?
Yes
No
Do you have any Chronic Disease? (For example Diabetes)
Yes
No
Have you Donated Blood in the past ?
Yes
No
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