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Want to Donate
Please fill the form if you want to donate your blood for the plasma therapy. Please make sure that the information is genuine, as we will be verifying the details submitted.
All information remains confidential.
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* Indicates required question
Your Name
*
Your answer
Your Contact Number
*
Your answer
Your City
*
Your answer
Your Blood Group
*
A +ve
A -ve
B +ve
B -ve
AB +ve
AB -ve
O +ve
O -ve
I don't know
Are you?
*
Recovered COVID Patient
Quarantined with COVID
Have you donated plasma in the last 15 days?
*
Yes
No
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