Donor Registration

Donor Registration

Donor Registration

Donating blood is an act of solidarity. Join the effort and save lives.

eRaktkosh

Name*

Please enter your name

Gender*

Please enter your gender

Age*

Please enter your dob

Age cannot be greater than 85

Age cannot be less than 18

Mobile Number*

Mobile Number is required

Mobile Number should be 10 digit

Blood Group

Address

State*

Please enter your state

District/City*

Please enter your district

Health ID

GoI ID

GoI ID Number

Please enter your GOI ID number

Willing to Donate? Choose from your Nearby Bloodbanks

Blood Bank Name

Please enter your blood bank name

Tentative Date

I hereby accept Terms & Conditions of registering as blood donor.

Please accept terms and conditions

Registration Successful!!

Thanks for Registering as Potential Blood Donor and Joining us in the Nobel cause of Saving Lives.

In case of Emergency, your nearest Blood Bank may contact you!

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Terms & Conditions

I have accepted to register as Voluntary Blood Donor. I accept that my details will be available to the Blood Banks and blood banks may contact in case of emergency.