Blood Donor Registration Form

Be a RaktVeer! Register as a blood donor and get a chance to save a life. RAKT will further approach you in case of any blood requirements.

Name*

Age*

Blood Group*

*(In case, you don't know your blood group, please contact us here.)

Contact Number*

Email*

Gender*

Alternate Contact Number

Weight*

City*

Your Hometown*

Metro Line*

Nearest Metro Station*