Become a Donor | BloodConnect

Create Profile

āĻāĻ•āϟāĻŋ āĻĒā§āϰ⧋āĻĢāĻžāχāϞ āϤ⧈āϰāĻŋ āĻ•āϰ⧁āύ āĻāĻŦāĻ‚ āĻœā§€āĻŦāύ āĻŦāĻžāρāϚāĻžāύāĨ¤

01. Personal Details
āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āύāĻžāĻŽ
Name is required.
āĻŦāϝāĻŧāϏ (ā§§ā§Ž-ā§Ŧā§Ģ)
Age must be 18-65.
āĻ“āϜāύ (ā§Ēā§Ģ+)
Min weight is 45kg.
āϞāĻŋāĻ™ā§āĻ—
Required.
āϰāĻ•ā§āϤ⧇āϰ āĻ—ā§āϰ⧁āĻĒ
Select your blood group.
02. Contact & Location
āϏāϚāϞ āĻŽā§‹āĻŦāĻžāχāϞ āύāĻŽā§āĻŦāϰ
Valid 10-digit number.
āχāĻŽā§‡āχāϞ (āϐāĻšā§āĻ›āĻŋāĻ•)
Please provide a valid email.
āĻœā§‡āϞāĻž āĻ“ āĻŦāĻ°ā§āϤāĻŽāĻžāύ āĻ āĻŋāĻ•āĻžāύāĻž
Location is required.
03. Medical History
āϏāĻ°ā§āĻŦāĻļ⧇āώ āϰāĻ•ā§āϤāĻĻāĻžāύ⧇āϰ āϤāĻžāϰāĻŋāĻ– (āϝāĻĻāĻŋ āĻĨāĻžāϕ⧇)

āĻĻāĻžāϤāĻž āύāĻŋāĻ°ā§āĻĻ⧇āĻļāĻŋāĻ•āĻž

  • Age Requirement:
    ā§§ā§Ž āĻĨ⧇āϕ⧇ ā§Ŧā§Ģ āĻŦāĻ›āϰ⧇āϰ āĻŽāĻ§ā§āϝ⧇ āĻšāϤ⧇ āĻšāĻŦ⧇āĨ¤ (Must be 18-65 yrs)
  • Physical Fitness:
    āϰāĻ•ā§āϤāĻĻāĻžāύ⧇āϰ āĻĻāĻŋāύ āĻļāϰ⧀āϰ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āϏ⧁āĻ¸ā§āĻĨ āĻĨāĻžāĻ•āĻž āφāĻŦāĻļā§āϝāĻ•āĨ¤ (Must be physically fit)
  • Time Gap:
    āĻļ⧇āώ āϰāĻ•ā§āϤāĻĻāĻžāύ⧇āϰ āĻĒāϰ āĻ•āĻŽāĻĒāĻ•ā§āώ⧇ ā§Š āĻŽāĻžāϏ (⧝ā§Ļ āĻĻāĻŋāύ) āĻĒāĻžāϰ āĻšāϤ⧇ āĻšāĻŦ⧇āĨ¤
ANTI-FRAUD ALERT

āϰāĻ•ā§āϤ āĻĻāĻžāύ āϏāĻŦāϏāĻŽāϝāĻŧ āĻŦāĻŋāύāĻžāĻŽā§‚āĻ˛ā§āϝ⧇āĨ¤ āϕ⧇āω āϰāĻ•ā§āϤ⧇āϰ āϜāĻ¨ā§āϝ āϟāĻžāĻ•āĻž āĻĻāĻžāĻŦāĻŋ āĻ•āϰāϞ⧇ āϤāĻž āĻ¸ā§āĻ•ā§āϝāĻžāĻŽ! āϏāĻžāĻĨ⧇ āϏāĻžāĻĨ⧇ āφāĻŽāĻžāĻĻ⧇āϰ āϜāĻžāύāĻžāύāĨ¤

Report Issue

Your data is 256-bit encrypted. We only use this to match patients with donors during verified emergencies.