Blood Donors Directory - Government College Chittur 2023-24.
This google form is to know your willingness to donate Blood and hence to prepare Blood donors directory of Govt. College Chittur. This is an initiative by Red Ribbon Club and National Service Scheme (Unit No. 39 & 75), Government College Chittur, Palakkad - 678104
Name of Student/Staff *
Sex *
Staff/Student *
Department/Section
 *
Programme (If you are a student, select the prorgramme given, otherwise select 'Not Applicable') *
Year of study (If you are a student, please give the year of study. Research Scholars please select Ph.D . Teaching and non teaching staff please select 'Not Applicable')  *
Blood Group
 *
Current body weight (Kg) *
Date of Birth *
MM
/
DD
/
YYYY
Are you willing to donate Blood
 *
Have you donated Blood previously *
Are you medically fit to donate blood ?
Phone number
 *
Address *
Remarks 
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