Blood Donation Form
Everyone is in confusion, about how to save the lives of their loved ones. Today we may be fortunate that we are alive but tomorrow someone may not be.

But, you might save someone by donating your blood. It can bring back someone to life. Be a lifesaver by donating your blood.

Provide your details here so the patient can reach out to you easily.

Youth Against Injustice Foundation accepts the responsibility that the details you provide will be safe with us and only be provided to the patients.

"The Donors will be connected to the needy ones"
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Name *
City *
State: *
Contact Number *
Date of Birth *
MM
/
DD
/
YYYY
Weight *
Blood Group: *
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