Donor Pledge Form

If you are a COVID-19 Survivor, would you like to Donate Plasma?    

Date of Birth *
Gender *

Home Locality *
Work Locality *

Would you donate for patients, on regular basis for Thalassemia, Sickle cell anaemia patients? *    

Your information is extremely secured and is for Blood Donation purpose only.

Thank you for being a Bloom member.

 Terms & Conditions

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