Blood Donor Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Blood Donor Form

The motive of this form is to collect the information of the people who will become eligible to donate blood till the third wave of corona in India, so that in third wave we will have the verified data of the blood donors which could be used to help the patients.
So please fill the form if you think you are eligible to donate or will become eligible to donate till August/September/October.

Name *

Blood Group *

State *

District *

City *

Phone number *

Have you taken the vaccine, if yes then please mention the date you have taken vaccine on?

If you have just turned corona negative, then please mention the date you got your test result?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms