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Register as a donor
Name*:
Age*:
Gender*:
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Other
Mobile number*:
City*:
Blood Group*:
A-
A+
B+
B-
O+
O-
AB+
AB-
Don't know
Date of positive Covid-19 test*:
Date of negative Covid-19 test*:
I confirm that I've been Covid-19 free for atleast 14 days and was admitted in the hospital for treatment.
I give my consent to give my contact details to the requestee.
I confirm that the information provided by me is true and I'll be responsible in case the information is wrong.
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