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I am voluntarily registering as a blood donor. I confirm that I am eligible to donate blood. I hereby declare that information furnished above is true to the best to my knowledge & I am willing to disclose my above information. If any of the above information is found to be wrong, I will be solely responsible for anything resulting out of it or any loss or damage sustained to the NGO or any other person or agency.
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In Case of Blood requirement
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Vijay Patil 9987023900