Member/Blood Donor Registration :- Indian Red Cross Society, Thrissur

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First Name:   *
Last Name:   *
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Declaration of Donor

I have completed 18 years of age. I am willing for the donation of one unit of blood and give consent for my blood being tested for transmitted diseases, further I agree and give consent to publish my name and address with phone numbers and blood group in the web site Redcross, Thrissur Branch.

       
 

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Indian Red Cross Society, Thrissur Branch, College Road, Thrissur - 680001. Kerala. Ph : 0091- 0487-2333333.
E Mail : redcrosssociety@bsnl.in

 © 2003: Indian Red Cross Society, Thrissur Branch. All Rights Reserved.
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