Blood Donor – The Martian Army

Register as a Blood Donor And Save Lives

Please fill-up the below form and wait for our call for verification. After verification if you are eligible to donate blood, we will call you when there will be any need of emergency blood. If at that time of emergency you are available to donate blood, then you can come and help to the needy.

Prefix

First Name *

Middle Name

Last Name

Email Address

Phone *

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country

Date of Birth *

Day *

Month *

Year *

Blood Group *

Are you a COVID recovered Person? *

Any chronic disease do you have? *

Upload Photo *

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Upload your square size decent photograph which will be used in your identity card and official website.

Upload Aadhaar Card *

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It is only for verification purposes