Bill Suvidha


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Donor Registration


Registration Date	02/06/2012
Name*
Birth date*	Valid age is between 18 to 55
Blood Group*
Gender*
Email*
	Mail Alert
Moblie No.*	eg. 911234567890
Weight*	Kgs (should be above 50 kg)
Date of last blood donation
How often have you donated blood in the past?*
Personal Message (Message from donor)

I have read the above eligibility criteria and confrim that I am eligible to donate blood.


Login ID
Password

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