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About Blood Donors: Register
Please fill the following information to register as voluntary blood donor and become part of F2S vision.
Note : To register as a blood donor is a responsibility. We remind you of your responsibilities because you carry hope for those in dire need. Also, kindly respond politely if you are unable to donate blood in some situations. Please edit your profile once you donate blood in future.
REGISTRATION FORM
Full Name
:
Blood Group
:
-----Select-----
A+
A-
B+
B-
AB+
AB-
O+
O-
A1+
A1-
A2+
A2-
A1B+
A1B-
A2B+
A2B-
Bombay Blood Group
Gender
:
-----Select-----
Male
Female
Date Of Birth
(MM/DD/YYYY)
:
Contact Information
Mobile Number
(
Eg: 9500389002)
(Please enter 10 digit phone number only)
:
Land Line Number
(Eg: 0863351725)
:
Select State
:
-----Select-----
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Lakshadweep
Pondicherry
Delhi
Select District
:
-----Select-----
Select City
:
-----Select-----
E-Mail ID
:
Permanent Address
:
UserId
:
Please wait...
Password
:
Re-type Password
:
Please confirm your availability to donate blood
:
Available
UnAvailable
I authorise the website to display my telephone number, e-mail ID and mailing address so that the needy could contact me, as and when there is an emergency.
Important :
All Voluntary Donors are warned of likely misuse of blood donated by them at the hospital with or without the knowledge of the hospital management. At some places the hospital staff have taken the blood and sold it to others for a price. As a responsible citizen/donor we request you to keep a watch on such people and hospitals. Donors must inform the F2S team members/coordinators of such areas in case of any doubt.
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