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Be a Plasma Donor !
Social Initiative by Kaydyane Waga Lokchalval to co-ordinate between Donors and covid-19 patients.
(Form shall be filled by recovered Covid-19 patient.)
* Indicates required question
Email
*
Your email
कायद्याने वागा लोकचळवळ
Name
*
Your answer
Age
*
Your answer
Address
*
Your answer
City/Village
*
Your answer
Taluka
*
Your answer
District
*
Your answer
Contact No. (Whatspp No.)
*
Your answer
Have you been Vaccinated ?
*
YES
NO
Required
Your Blood Group
Your answer
I am ready to communicate, co-operate and to donate Plasma to needy person.
*
YES
Required
Submit
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