Register form


Login Information
Email ID: *
Password: *
Confirm Password: *
Donor Information
Name: *
Gender:  Male    Female *
Date of Birth :  Month :  Year : *
Age:
Blood Group :
Weight: KG (Ex: 55) *
Last Donated Date: (Ex: DD-MM-YYYY)
Contact Information
Mobile No: *
Landline No:
Address: *
Country: INDIA
State: Tamilnadu
City: *
Area:
*
Pincode: *
Terms and Conditions: I accepted the terms and conditions *

TERMS AND CONDITIONS :


Blood Donor Eligibility Criteria


Age:
  • 16 to 55 years of age.

Weight:
  • More than 50 kg.

Health:
  • You must be in good health.
  • You cannot donate if you have a cold, flu, sore throat, cold sore, stomach bug or any other infection.
  • If you have recently had a tattoo or body piercing you cannot donate for 6 months from the date of the procedure.
  • If you have visited the dentist for a minor procedure you must wait 24 hours before donating; for major work wait a month.

Food:
  • You must have eaten some food atleast four hours before donation.

Identification:
  • You must bring appropriate identification with you each time you donate.
  • Acceptable ID is a document or a combination of documents, which contains three (3) unique points of personal information. These can be: full name, photograph, date of birth, home address, signature.

I do here by declare that the details furnished above are true to the best of my knowledge.