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Donor Registration
Help save lives by becoming a verified blood donor
Step 1 of 6
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1
Personal Info
Basic details
2
Physical
Weight & BMI
3
Medical
Health history
4
Screening
Disease tests
5
Documents
Upload files
6
Consent
Terms & agreements
Personal Information
Please provide your basic personal details
First Name *
Last Name *
Email Address *
Phone Number *
Date of Birth * (Age: 18-65)
Gender *
Select gender
Blood Group & Rh Factor *
Select blood group
Complete Address
Emergency Contact Name
Emergency Contact Phone
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