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Blood Donor Volunteers Details
"One Steps Towards Development Society"
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* Indicates required question
Email
*
Your email
Name of Volunteers
*
Type your Full Name
Your answer
District Name
*
District
Choose
Angul
Bolangir
baleswar
Bargarh
Bhadrak
Boudh
Cuttuck
Deogarh
Dhenkanal
Gajapati
Ganjam
Jagatsinghpur
Jajpur
Jharsuguda
Kalahandi
Kandhamal
Kendrapara
Kendujhar
Khordha
Korapur
Malkangiri
Mayurbhanja
Nabarangapur
Nayagarh
Nuapara
Puri
Rayagada
Sambalpur
Sonepur
Sundargarh
Gender
*
Choose
Female
Male
Age
*
Your answer
Blood Group
*
Choose
A+
AB+
B+
O+
A-
AB-
B-
O-
Mobile Number
*
Your answer
Suggestion
Choose
Good
Very good
Excellent
Outstanding
Submit
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