Want to be a donor
Please fill the form if you want to donate blood or want to be a regular blood donor.

Please make sure that the information is genuine.
All information remains confidential.
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Your Name *
Age *
Your Contact Number *
Your email address (optional)
State *
 Your City *
Pin code *
Your Blood Group *
Have you ever donated blood ? *
Want to be a donor for? (For some patients several blood components are also required which are donated through the similar process of blood donation) You can select multiple *
Required
Any other Remarks if you want to share (optional)
Who inspired you to save a life / from where did you got to know about us (Optional)
Declaration: I agree to share the provided information with the volunteers of NeedPlasma for finding appropriate donor matches with the patients. I also agree to verify the information provided to me before making the donation and the NeedPlasma team would not be liable for any lapse occurring out of the arrangement. NeedPlasma does not promote any monetary transaction for plasma donation and advises strongly against it. *
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