🩸 Blood Donor Registration

Join 360Kovai's life-saving community. Register as a blood donor and help save lives in Coimbatore.

📋 Eligibility Criteria:

Age: 18-65 years
Weight: Minimum 45 kg
Hemoglobin: Minimum 12.5 g/dL
Interval between donations: Minimum 3 months
Free from infectious diseases and chronic conditions

Find Blood Donors

Personal Information

Full Name *

Email Address *

Phone Number *

10 digits only (e.g., 9876543210)

Alternate Phone

Date of Birth *

Age *

Gender *

Weight (kg) *

Minimum 45 kg required

Blood Group *

A+

A-

B+

B-

AB+

AB-

O+

O-

Address Details

Address *

Area / Locality *

City *

Pincode *

Occupation

Aadhaar Number (Optional)

For verification purposes only

Medical Information

Last Blood Donation Date

Leave blank if first-time donor

Any Chronic Diseases? *

Recent Surgery (Last 6 months)? *

Tattoo/Piercing (Last 6 months)? *

Current Medications (if any)

Known Allergies (if any)

Other Medical Conditions

Emergency Contact

Contact Person Name *

Contact Person Phone *

Relationship *

Donation Preferences

Preferred Donation Location

Willing to Travel? *

Travel Radius (km)

Notification Preference *

I certify that the information provided is accurate and true. I understand that donating blood is a voluntary act and I am medically fit to donate. I agree to 360Kovai's Terms & Conditions and Privacy Policy.

Why Become a Blood Donor?

Save Lives: One donation can save up to 3 lives
Health Benefits: Regular blood donation may reduce the risk of heart disease
Free Health Check: Get a mini health checkup before every donation
Community Service: Be a hero in your community
Emergency Support: Access to blood if you or your family needs it

📞 Need Help?
Call us: +91 70102 82122
Email: bloodbank@360kovai.com