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"LIQUID LOVE"
Blood Donation Drive
Organised By
Youth Wing of Sri Sathya Sai Seva Centre Colombo (Affiliated to Sri Sathya Sai Global Council, Prasanthi Nilayam)
Date : 9th September 2023
Venue : Sri Bodhirukkaramaya Vihara, Vihara Lane, Wellawatte
Time : 9 A.M to 3 P.M
* Indicates required question
Email
*
Record my email address with my response
Name/பெயர்/නම
*
Your answer
Age Range/
වයස් සීමාව
/
வயது எல்லை
(Please note donors in the age range 18 to 60 are eligible to be a blood donor according to National Blood Bank)
*
18 - 25
26 - 35
36 - 45
46 - 55
56 - 60
Have you donated blood before / ඔබ මීට පෙර ලේ
දන්
දී තිබේද /
நீங்கள் முன்பு இரத்ததானம் செய்துள்ளீர்களா?
*
Yes/ඔව්/ஆம்
No/නැත/இல்லை
If the answer for the above Q3 is "YES", please mention the last blood donated period
ඉහත Q3 සඳහා පිළිතුර "ඔව්" නම්, කරුණාකර අවසන් වරට ලේ දන් දීපු දිනය සඳහන් කරන්න
மேலே Q3 க்கு குறிப்பிட்ட பதில் "ஆம்" எனின், நீங்கள் கடைசியாக இரத்ததானம் செய்த திகதியைக்குறிப்பிடுங்கள்.
Your answer
Preferred time slot / කැමති වෙලාව / விரும்பும் நேர ஒதுக்கீடு
*
9 a.m - 10 a.m
10 a.m - 11 a.m
11 a.m - 12 p.m
12 p.m - 1 p.m
1 p.m - 2 p.m
2 p.m - 3 p.m
How did you get to know about "Liquid Love" blood donation drive / ඔබ කොහොමද ලේ දන්දීමේ වැඩසටහන ගැන දැන ගත්තේ / நீங்கள் எவ்வாறு இரத்ததான முகாம் பற்றி அறிந்துகொண்டீர்கள்?
*
E-mail / ඊමේල් / ஈமெயில்
Posters / පෝස්ටර් / சுவரொட்டிகள்
WhatsApp / වට්සැප් / வாட்ஸப்
Social Media (Facebook) / සමාජ මාධ්ය / சமூக ஊடகங்கள்
Through friends circle / මිතුරන් හරහා / நண்பர்கள் மூலம்
Other:
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