Follow Us
info@welcareindiafoundation.org
Login
/
Register
Login
/
Register
Home
About
About Us
Team
Affiliation
FAQ
Testimonial
Problem
Solution
Need Blood
Activity
Healthcare and Nutrition Advancement
Youth Development and Education
Women's Empowerment and Gender Equality
Anti-Corruption and Ethical Governance
General Campaign
Campaign
Healthcare and Nutrition Advancement
Youth Development and Education
Women's Empowerment and Gender Equality
Anti-Corruption and Ethical Governance
General Campaign
Pledge
Member
Member's Verification
Our Member
Member Login
Volunteer
Volunteer Verification
Our Volunteer's
Volunteer Login
Hightlights
Blog
News
Noticeboard
Our Achievment
Internship
Registration Form
Internship Verification
Internship Certificate
Event
Upcoming Event
Past Event
Gallery
Photo Gallery
Video Gallery
Contact
Need Blood
Home
Need Blood
Need Blood
Donate Blood
Patient Name *
Patient Dob *
Attendee Name *
Attendee Mobile Number *
Select Blood Group *
Select Blood Group
A+
A-
B+
B-
AB+
AB-
O+
O-
Don't Know
Select Blood Component *
Select Component
Blood
Platelets
Required Date *
Units *
Location For Donation *
Requisition Form From Doctor ( Image) *
Refer By ( If any ) *
Submit
Full Name *
Date of Birth *
Mobile Number *
Email *
Select Blood Group *
Select Blood Group
A+
A-
B+
B-
AB+
AB-
O+
O-
Don't Know
Weight *
Last time donated blood date *
Have you ever been deferred or rejected as a donor *
Select
Yes
No
Current Living City *
Address *
Any medical conditions or allergies *
Select
Yes
No
Any medication that you are currently taking *
Select
Yes
No
How did you hear about Welcare India Foundation's blood donation drive *
Select
Website
Social Media
Friend
Our Member
Our Volunteer
By submitting this form, I declare that I am in good health and am willing to donate blood voluntarily in case of a medical emergency or as required by Welcare India Foundation. I understand that Welcare India Foundation will use my personal information only for the purpose of blood donation and will keep my information confidential.
Submit
Make Campaign
Donate Us
Support
Support Ticket
×
Select Priority
Low
Medium
High
Urgent
Select Department
Submit Issue
Login Issue
Payment Issue
Cause Issue
Confirmation
Are you sure want to delete?