JnU LifeDr
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Join our community and save a life today.
Personal Details
Full Name
*
Your complete legal name
Email
*
Used for login and notifications
Phone Number
*
Format: 01XXXXXXXXX (11 digits starting with 01)
Blood Type
*
-- Select Your Blood Type --
A+
A-
B+
B-
O+
O-
AB+
AB-
Your blood group type
Location Details
Division
*
-- Select Division --
Dhaka
Chattogram
Rajshahi
Khulna
Barishal
Sylhet
Rangpur
Mymensingh
District
*
-- Select District --
Select division first
Upazila
*
-- Select Upazila --
Select district first
Address
*
Your detailed address (Max 500 characters)
Account Security
Password
*
Minimum 6 characters
Confirm Password
*
Must match password
I agree to be contacted when blood is needed and confirm my information is accurate
*
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