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Blood Donors Register
Please fill the following information to register donor.
Full Name
User Name
E-Mail ID
Blood Group
-----Select-----
A+
A-
B+
B-
O+
O-
AB+
AB-
A1+
A1-
A1B+
A1B-
A2+
A2-
A2B+
A2B-
Availability to donate blood
-----Select-----
Available
Unavailable
Gender
Male
Female
Other
Date Of Birth
Mobile Number
Land Line Number
City
Select Country
Bangladesh
Select State
Select Country First
Address
Password
Re-type Password
Upload Profile Picture
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