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Lanka , Varanasi
+91 9794412733
webcodian.official@gmail.com

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Any medication that you are currently taking *

How did you hear about Webcodian 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 Webcodian Foundation. I understand that Webcodian Foundation will use my personal information only for the purpose of blood donation and will keep my information confidential.

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Select Blood Group *

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Required Date *

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