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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Your Name *
Age *
Your Contact Number *
State *
 Your City *
When were you tested positive? *
MM
/
DD
/
YYYY
Your Blood Group *
Are you? *
Have you donated plasma in the last 15 days? *
Any other Remarks if you want to share (optional)
Who inspired you to save a life / from where did you got to know about us (Optional)
Declaration: I agree to share the provided information with the volunteers of NeedPlasma for finding appropriate donor matches with the patients. I also agree to verify the information provided to me before making the donation and the NeedPlasma team would not be liable for any lapse occurring out of the arrangement. NeedPlasma does not promote any monetary transaction for plasma donation and advises strongly against it. *
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