THE RED DRIVE
A drop of your blood can do more than save a life. It can prevent a woman from being a widow, a family from being fatherless, a child from being an orphan. And its in you to give. Blood donation costs you but a few minutes yet promises a lifetime for somebody else.

JIPMER Students Association, in collaboration with the Department of Transfusion Medicine,JIPMER proudly presents “The Red Drive" - an initiative to build an online database of voluntary blood donors from JIPMER.

The project aims to ensure a ready availability of all blood types, at all times.

If you are a healthy donor, and do not mind taking a little time out of your daily schedule to donate blood when someone is in an emergency, please register in JIPMER Red Drive database . You might be able to save a life or help ease the trauma for the kin of a patient. What's more, this very service might help you when in time of need.

For more details about Voluntary Blood Donation and Project Red Drive, click the link below
http://bit.ly/thereddrivefact1

Kindly fill the following details in BLOCK LETTERS and enrol yourself in the Red Drive !

NAME
Your answer
AGE
Your answer
SEX
DATE OF BIRTH
MM
/
DD
/
YYYY
DESIGNATION
YEAR OF JOINING JIPMER
Your answer
DEPARTMENT
Interns kindly enter department as INTERN. Faculty and Staff can enter their respective department name.
Your answer
BLOOD GROUP
BODY WEIGHT ( approx in Kilograms)
Your answer
PHONE NUMBER 1 ( mobile )
Your answer
PHONE NUMBER 2 ( landline )
Your answer
E-MAIL ID
Your answer
ADDRESS
Students staying in hostel kindly mention the Room Number and Hostel Name clearly.
Your answer
ARE U SUFFERING FROM ANY CHRONIC MEDICAL ILLNESS?
Epilepsy, Fainting, Heart Disease, Leprosy, Tuberculosis, Kidney Disease, Cancer, Diabetes-on insulin, Endocrine Disease, Hypo/Hypertension, Abnormal bleeding tendencies
Your answer
ARE YOU ON ANY CHRONIC MEDICATION ?
NSAIDS, Antibiotics, Steroids etc
Your answer
BIRTHDAY HEROES
As you celebrate yet another year of life, give someone else the chance too. Be a real hero in your life by participating in "Birthday Heroes" initiative.

We will be extremely happy to make special arrangements on your birthday or on any other occasion like your Wedding anniversary, Birthday of your parents, your child`s Birthday to receive your blood.

Kindly give your consent for the Birthday Heroes project and be a hero !

Do you want to be a part of Birthday Heroes ?
Would you like to be called on your mobile on your special occasion ?
Would you like us to remind you on any other special occasion as well?
Please specify date and occasion.
Your answer
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