TVI HELP FOUNDATION

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TVIHELP FOUNDATION

Nirmala

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30 January 2023

TVIHELP FOUNDATION is a registered NGO under Section 8 Act, founded by a group of friends who came t

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Amarpura Danta, Ramgarh, Sikar, Rajasthan 332702
contact.tvihelp@gmail.com
+91- 9983966111

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Donate Blood

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Mobile Number *

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Weight *

Last time donated blood date *

Have you ever been deferred or rejected as a donor *

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Address *

Any medical conditions or allergies *

Any medication that you are currently taking *

How did you hear about TVIHELP FOUNDATION's blood donation drive *

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 TVIHELP FOUNDATION. I understand that TVIHELP FOUNDATION will use my personal information only for the purpose of blood donation and will keep my information confidential.

Need Blood

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Attendee Name *

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Select Blood Group *

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Required Date *

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Requisition Form From Doctor ( Image) *

Refer By ( If any ) *

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+91 9983966111

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