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Donor Registration
Name of the Donor
Gender
MALE
FEMALE
OTHERS
Date of Birth
Email
District
Ariyalur
Chennai
Chittikulam
Coimbatore
Cuddalore
Dharmapuri
Dindigul
Erode
K.K.District
Kaaraikal
kadaladi
KADALUR
Kancheepuram
Kaniyakumari
Kanniyakumari
kannyakumari
Kanya kumari
Kanyakumari
Karaikal
Karur
Kovilpatti
Krishnagiri
Madurai
Mapilaiurani
Nagapattinam
Namakkal
nellai
NULL
Ottapidaram
Ottapitaram
Paramakudi
Perambalur
Pondicherry
Pudhucherry
Pudukkottai
Pudukottai
PUTHUKOTTAI
RAMANAD
ramanadu
Ramanathapuram
Ramanthapuram
RAMMANATHAPURAM
Ramnad
Ramnadu
Salem
Sivagangai
Tanjavur
Thanjavur
The Nilgiris
Theni
Thirunelveli
THIRUPUR
Thiruvallur
Thiruvarur
THIUNAVELI
Thoothukkudi
Thoothukudi
tirchendur
TIRUCHENDUR
Tiruchirapalli
Tiruchirappalli
Tirunelveli
Tiruppur
Tiruvallur
Tiruvannamalai
Vellore
Villupuram
Viluppuram
Virudhunagar
Pincode
Address
Contact Number
Landline
Blood Group & Rh.Type
A Positive
A Negative
B Positive
B Negative
O Positive
O Negative
AB Positive
AB Negative
Bombay Group
A1 Positive
A1 Negative
A1B Positive
A1B Negative
A2 Positive
A2 Negative
A2B Positive
Previous Blood Donation Date
Option for Donation
Once in 3 months
Once in 6 months
Once in 12 months
Preferred Reminder Service
SMS
EMAIL
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