KGP Blood Connect 2019
“KGP Blood Connect” is an initiative under which we aim to create a database of potential blood donors who can be called for the donation of blood at the time of emergency. The database will be shared with the BC Roy hospital, as well as
some of the local hospitals for ensuring maximum utilization.
Name *
Email *
Roll No *
Hall of Residence *
You are a *
Year of Study *
Contact No. *
Alternate Contact No.
Blood Group *
Have you donated blood before?
Are you certain of your blood group? *
Do you have a blood donor card? *
How much time has been past since your last blood donation? *
Did you suffer Malaria, Jaundice, anemia or any other disease? If yes, please mention how much time has been passed since then. *
Did you underwent any surgery? if yes please mention the time interval since then. *
Do you have tattoo? if yes please mention the time interval since then. *
Kindly attach proof of your blood group( for say, photo of ID card etc.)
How do you feel about this initiative?
Remarks(if someone don't have there id proof but are sure about there blood group)
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