Add Yourself as a COVID-19 Plasma Donor

Name *

Phone Number *

Alternate Phone Number

Blood Group *

When did you get cured of COVID-19 ?

If you got cured more than 14 days ago, then people can contact you right now
If you got cured in under 14 days, then we will reach out to you as soon as 14 days pass

In BOTH or ANY Cases, please provide the Date below *

Address (optional)

Choose your City *

Pin Code

I hereby Agree to Terms and Conditions

You must agree before submitting.