SIRPIGAL Org | REGISTER

Register Here

	Name:
	Sex:	Male Female
	Date Of Birth:
	Phone No:
	Mail ID:	This is your user name.
	Password:	Password atleast 5 character
	Re-Enter Password:
	Blood Group:
	Are you willing to Donate Blood?	Yes No
	Last Blood Donated Month
	Are you willing to be a member?	Yes No
	Address:

If you are a member of sirpigal, you have to pay Rs.100 per month or a sum of Rs.300 for 3 months.

The foundation may contact you in-case of any emergency for blood donation.

If a blood group is needed urgently, you can post about in our website or directly contact our team via mobile.

If you want to help anyone at any place, you can inform it to our foundation.

This amount will be spent on social welfare activities.