Blood Donation Registration Form-Donate your blood and save others life


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Know your eligibility…

There are certain set-parameters that a donor has to fulfill for donating blood. These factors depict whether you are an eligible donor or not?
-- The age of the donor should be above 18 years and below 60 years.
-- Have a weight not less than 50 kgs.
-- The hemoglobin count has to be not less than 12.5g/dl
-- The body temperature at the time of donation has to be normal
-- Have normal BP at the time of donation
-- Should not be suffering from any ailment that restrains a donor from donating blood.

Fill the form if you are eligible


	* =mandatory
	Personel Details
	* Username for Login:	Check Availability
	* Password for login:
	* Full Name
	* Blood Group
	* Age
	* Sex	Male Female
	Mobile Phone
	Contact Phone
	email ID

	Personel Contact
	* Home Address
	Residence Phone
	PIN Code
	* State
	* District
	* Place


	Office Contact
	Office Address
	Office Timings	From am To pm
	Office Phone
	PIN Code
	State
	District
	Place

	I confirm that the details given by me are correct. I am willing to donate blood free of cost without any consideration. I am willing and ready to donate blood to any person without reference to race, caste, sex, creed or color.

Process for donating blood…

jeevanraksha.com works on a principle of passive blood donation that is easy and convenient for both, donors and blood seekers. We invite volunteers (people who are willing to donate blood) to register themselves with us. When there is a call for blood, the blood seekers need to fill-in the necessary information on our website. Then, we will forward the request to the specific donors of the same geographical area as that of the seeker. The decision of donating blood remains with blood donor at the time of request

There are many situations in which patients need blood to stay alive:

A patient needs blood after a major accident in which there is loss of blood.
No major surgery is performed without blood as there is bound to be blood loss.
On an average, for every open heart surgery about 6 units of blood is required.
In miscarriage or childbirth, cases the patient may need large amount of blood to be transfused for saving her life and also the child's.
For patients with blood diseases like severe Anaemias especially Aplastic Anaemias, Leucaemias (blood cancer), Haemophilia (bleeding disorder), Thalassemia etc. repeated blood transfusions are the only solution.
In many other situations like poisoning, drug reactions, shock, burns, blood transfusion is the only way to save precious human life.

There is no substitute for human blood. When you donate blood, you actually bring smile in many lives. According to a survey, in every three seconds, someone in the world needs blood transfusion. But this tremendous demand for blood is not taken care of even by the hospitals and blood banks.Records say that about 60% of the population is eligible to donate blood, however only a small fraction of less than 5% volunteer for this cause. Make your community a safer and lively place by donating blood for a noble cause.