Blood Donor Information
Emergency Blood Donation during the "most needed hour"- BLUNT THE IMPACT OF COVID-19

N.B- The Information is collected by Sankalp India Foundation and it will be kept private and confidential**
Email address *
Name *
Your answer
Mobile Number *
Your answer
Address (Area Only, E.g.- J. P Nagar)
Your answer
Preferable date of Blood Donation between 16th-31st Mar 2020 *
MM
/
DD
/
YYYY
Blood Group *
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