Blood Donate - SNPWA Assam

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1. Blood Group *
2. Name of the Volunteer *
3. Mobile No. *
4. Address *
5. District *

6. Declaration: The above information is correct. I register myself as a volunteer for blood donation willfully to help the people in need. I may be contacted at the mobile number given above.

I have read and agreed to the declaration

How It Works

Fillup the form