Blood donation for Thalassemia Patients
"PERSON WHO IS SUFFERING FROM THYROID, DIABETES, HYPER TENSION & RECENT HISTORY OF ANY INFECTION ARE ADVISED NOT TO FILL FORM."

Thalassemia and Sickle Cell Society (TSCS) is a registered NGO (Reg. no. 5359 Dt. 22/10/1998) established in the year 1998 with the pledge to help the Thalassemia patients. Thalassemia is a genetic blood disorder and affected patients depend on regular blood transfusion for survival, usually every 2 to 3 weeks. Our objective is to treat all thalassemia children and add years to their lives.

Inviting people to help us in this noble cause and add value to a life.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Mobile Number *
Address: *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Aadhar Number?
On which Date you will be available to donate blood? *
MM
/
DD
/
YYYY
What time will be most suitable for you to donate blood? *
Time
:
Are you coming from Red Zone area as per Government? *
Have you donated blood in the last 3 months? *
Have you visited a foreign country in the last 45 days? *
Has any of your family members or any person with whom you have close contact, visited a foreign country in the last 45 days? *
Have you lived with any person diagnosed with or suspected of having Covid-19 infection? *
Have you been diagnosed with or suspected of having Covid-19 infection? *
BLOOD BANK LOCATION - Thalassemia and Sickle Cell Society, Door No. 8-13-95/1/C, Opp Lane to National Police Academy, Raghavendra Colony, Shivarampally, Rajendra Nagar, Rangareddy dist – 500052. Ph. 040-29885658 / 29880731. Website: www.tscsindia.org ; Email: tscs@tscsindia.org
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms