ARYA BHUMI SEVA SANSTHAN

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Blood Donation Registration

Join our community of blood donors and help save lives

Personal Information

Full Name*

Gender*

Date of Birth*

Age*

Blood Group*

Weight (kg)

Minimum weight for donation: 45 kg

Contact Information

Phone Number*

Alternate Phone Number

Email Address*

Residential Address

Full Address*

State*

District*

Pincode*

I confirm that I am eligible to donate blood and consent to be contacted for donation drives*

By checking this box, you agree to our terms and conditions regarding blood donation eligibility and communication preferences.

Contact Information

C/O- Kumud Ranjan Pandey,

Vill - Hotwag, P.O- Parsahi,

P.S / DIST- Latehar, Jharkhand,

829207

Phone: +91 9471517320

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About the Developer

Abhishek Mishra

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