TODAY :
Home
|
About Us
|
Contact Us
|
Login
WHY TO DONATE
|
BLOOD TIPS
|
HOW TO DONATE
|
REGISTER AS A BLOOD DONOR
|
REQUEST BLOOD
|
DONATE NOW
Blood Donor Registration
Full Name
Information you provide will remain confidential and will not be used for any marketing purpose.
Access to this information is limited to staff with a genuine and essential need to have such access and will not be available to offenders or other persons.
Gender
Male
Female
Blood Group
A +ve
A -ve
B +ve
B -ve
AB +ve
AB -ve
O +ve
O -ve
Contact Details
Kindly update your date of donation once done.
Also please update your profile/information if in case you relocate in future.
Ask your friend or relative to be a volunteer donor, He / She would have Saved a life.
Email Address
Note : Email Address will provide you
the Login Access to your account to update personal details.
Mobile Number
Area
--Select--
Mannagudda
Kankanadi
Kapikad
Lalbhag
Bejai
jyothi
Nanthoor
Kadri
Adyar
Any
Urwa
surathkal
PVS
Statebank
Thokkotu
padil
kodikal
Mangaladevi
KASARAGOD
Pumpwell
I hereby declare that the particulars furnished above are true and correct, and I am willing to Donate Blood on request.