JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Register as a Blood Donors
We welcome enrollment from medically fit BLOOD DONORS between the age of 18-55 years, and not less than 45 kgs in weight, located in and around Nellore city.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Male
Female
Age
*
Your answer
Current Location
*
Your answer
Permanent Location
*
Your answer
Blood Group
*
Your answer
Email
(If any)
Your answer
Mobile N.o
*
Your answer
Phone(Res/Ofc)
Your answer
Previous Date of Blood Donation
MM
/
DD
/
YYYY
Terms and Conditions:-
=> HELPSU BLOOD DONOR NETWORK does not claim that potential donors are free from any disease or bodily conditions that prevent them from donating blood at the time when they are contacted for blood donation.
=> HELPSU BLOOD DONOR NETWORK does not guarantee that a potential donor will agree to donate blood whenever called upon to do so. It is entirely at the discretion of the individual whether or not to donate blood.
=> Potential donors registering on this blog MUST UNDERSTAND that this blog is a public directory and all the information on this site is accessible to EVERYONE. HELPS U cannot be held responsible for any dispute, losses or harm arising out of or due to misuse of any information (Eg. Telephone numbers) provided on this site and is not liable to pay any damages thereof.
=> HELPS U DONOR NETWORK is not a blood bank and is not affiliated to any blood bank
*
I am accepting Terms and Conditions
Required
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report