{"id":4582,"date":"2025-03-12T15:40:05","date_gmt":"2025-03-12T15:40:05","guid":{"rendered":"https:\/\/jsgblooddonors.com\/?page_id=4582"},"modified":"2025-03-28T09:12:29","modified_gmt":"2025-03-28T09:12:29","slug":"blood-donor-registration","status":"publish","type":"page","link":"https:\/\/jsgblooddonors.com\/?page_id=4582","title":{"rendered":"RaktMitra Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4582\" class=\"elementor elementor-4582\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3586797 e-con-full e-flex e-con e-parent\" data-id=\"3586797\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e8d53e1 elementor-widget elementor-widget-shortcode\" data-id=\"e8d53e1\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" data-token=\"127f4d28f6dd9dbbbea5b7df5e4a2206\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_blood-donor-registration\" data-token=\"127f4d28f6dd9dbbbea5b7df5e4a2206\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Blood Donor Registration<\/legend>\n\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"blood-donor-registration\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"c12ff90e80\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F4582\" \/><div id=\"frm_field_6_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\n\t<label for=\"field_odilv\" id=\"field_odilv_label\" class=\"frm_primary_label\">UID\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_odilv\" name=\"item_meta[6]\" value=\"JSG\/BG\/7033\"  readonly=\"readonly\"  data-frmval=\"JSG\/BG\/7033\" data-invmsg=\"UID is invalid\" aria-invalid=\"false\"   \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_7_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\n\t<label for=\"field_8xywj\" id=\"field_8xywj_label\" class=\"frm_primary_label\">Regn. Date\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_8xywj\" name=\"item_meta[7]\" value=\"02\/06\/2026\"  readonly=\"readonly\"  maxlength=\"10\" data-frmval=\"02\/06\/2026\" data-reqmsg=\"Regn. Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Regn. Date is invalid\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_8_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\n\t<div  id=\"field_p1upf_label\" class=\"frm_primary_label\">Regn. Time\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/div>\n\t<input type=\"hidden\" value=\"20:09\" name=\"item_meta[8]\"  id=\"field_p1upf\" \/><div class=\"frm_time_wrap\"><span dir=\"ltr\">\r\n<select aria-label=\"Regn. Time ... hour\"  disabled=\"disabled\"  data-frmval=\"{&quot;A&quot;:&quot;&quot;,&quot;H&quot;:&quot;20&quot;,&quot;m&quot;:&quot;09&quot;,&quot;s&quot;:&quot;15&quot;}\" data-invmsg=\"Regn. Time is invalid\" class=\"auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"\" ><\/option><option value=\"00\" >00<\/option><option value=\"01\" >01<\/option><option value=\"02\" >02<\/option><option value=\"03\" >03<\/option><option value=\"04\" >04<\/option><option value=\"05\" >05<\/option><option value=\"06\" >06<\/option><option value=\"07\" >07<\/option><option value=\"08\" >08<\/option><option value=\"09\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\"  selected='selected'>20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><\/select>\r\n<span class=\"frm_time_sep\" aria-hidden=\"true\">:<\/span>\r\n<select aria-label=\"Regn. Time ... minute\"  disabled=\"disabled\"  data-frmval=\"{&quot;A&quot;:&quot;&quot;,&quot;H&quot;:&quot;20&quot;,&quot;m&quot;:&quot;09&quot;,&quot;s&quot;:&quot;15&quot;}\" data-invmsg=\"Regn. Time is invalid\" class=\"auto_width frm_time_select auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"\" ><\/option><option value=\"00\" >00<\/option><option value=\"30\" >30<\/option><\/select>\r\n<\/span>\r\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm2 frm_first\">\n\t<label for=\"field_284yv\" id=\"field_284yv_label\" class=\"frm_primary_label\">Donor Full Name\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_284yv\" name=\"item_meta[9]\" value=\"\"  data-reqmsg=\"Donor Full Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Donor Full Name is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_284yv\" \/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_284yv\">First & Last Letter of Your Name Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm2 frm_other_container\">\n\t<label for=\"field_lt0q0\" id=\"field_lt0q0_label\" class=\"frm_primary_label\">Gender\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[10]\" id=\"field_lt0q0\"  data-frmval=\"Male\" data-reqmsg=\"Gender cannot be blank.\" aria-required=\"true\" data-invmsg=\"Gender is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Male\" selected='selected'>Male<\/option><option  value=\"Female\">Female<\/option><option  value=\"Transgender\">Transgender<\/option><option  value=\"Other\" class=\"frm_other_trigger\">Other<\/option>\t<\/select>\n\t<label for=\"field_lt0q0-otext\" class=\"frm_screen_reader frm_hidden\">Gender<\/label><input type=\"text\" id=\"field_lt0q0-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][10]\" value=\"\" \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm2\">\n\t<label for=\"field_w6x1b\" id=\"field_w6x1b_label\" class=\"frm_primary_label\">Country\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_w6x1b\" name=\"item_meta[14]\" value=\"\"  data-reqmsg=\"Country cannot be blank.\" aria-required=\"true\" data-invmsg=\"Country is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_w6x1b\" \/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_w6x1b\">Country Name Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm2\">\n\t<label for=\"field_1qcz3\" id=\"field_1qcz3_label\" class=\"frm_primary_label\">State\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_1qcz3\" name=\"item_meta[13]\" value=\"\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_1qcz3\" \/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_1qcz3\">State Name Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm2\">\n\t<label for=\"field_devhh\" id=\"field_devhh_label\" class=\"frm_primary_label\">City\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_devhh\" name=\"item_meta[12]\" value=\"\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"City is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_devhh\" \/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_devhh\">City Name Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_11_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm2\">\n\t<label for=\"field_k9e6j\" id=\"field_k9e6j_label\" class=\"frm_primary_label\">Suburb \/ Area\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_k9e6j\" name=\"item_meta[11]\" value=\"\"  data-reqmsg=\"Suburb \/ Area cannot be blank.\" aria-required=\"true\" data-invmsg=\"Suburb \/ Area is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_k9e6j\" \/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_k9e6j\">Suburb\/Area Name Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\n\t<label for=\"field_21z5m\" id=\"field_21z5m_label\" class=\"frm_primary_label\">Birth Year\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_21z5m\" name=\"item_meta[15]\" value=\"\"  data-frmmask=\"0000\" maxlength=\"4\" data-reqmsg=\"Birth Year cannot be blank.\" aria-required=\"true\" data-invmsg=\"Birth Year is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\d\\d$\"   aria-describedby=\"frm_desc_field_21z5m\" \/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_21z5m\">Birth Year  of Donor Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm2\">\n\t<label for=\"field_7gmbs\" id=\"field_7gmbs_label\" class=\"frm_primary_label\">Mobile Number\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"tel\" id=\"field_7gmbs\" name=\"item_meta[16]\" value=\"\"  data-reqmsg=\"Mobile Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Mobile Number is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"   aria-describedby=\"frm_desc_field_7gmbs\"\/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_7gmbs\">First & Last Digit of Phone Number Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_top_container frm2\">\n\t<label for=\"field_acwll\" id=\"field_acwll_label\" class=\"frm_primary_label\">Alternate Mobile No.\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"tel\" id=\"field_acwll\" name=\"item_meta[17]\" value=\"\"  data-invmsg=\"Alternate Mobile No. is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"   aria-describedby=\"frm_desc_field_acwll\"\/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_acwll\">Alternate Number Will Not Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_top_container frm2\">\n\t<label for=\"field_vr736\" id=\"field_vr736_label\" class=\"frm_primary_label\">Email\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"email\" id=\"field_vr736\" name=\"item_meta[18]\" value=\"\"  autocomplete=\"email\"  data-invmsg=\"Email is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_vr736\"\/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_vr736\">Email ID Will NOT Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm2\">\n\t<label for=\"field_ujk9r\" id=\"field_ujk9r_label\" class=\"frm_primary_label\">Last Date Of Blood Donated\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_ujk9r\" name=\"item_meta[19]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Last Date Of Blood Donated cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last Date Of Blood Donated is invalid\" class=\"frm_date\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_ujk9r\"\/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_ujk9r\">Last Date of Blood Donation Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm3 frm_first\">\n\t<label for=\"field_sygdw\" id=\"field_sygdw_label\" class=\"frm_primary_label\">Blood Type Combination\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[20]\" id=\"field_sygdw\"  data-frmval=\"O+\" data-reqmsg=\"Blood Type Combination cannot be blank.\" aria-required=\"true\" data-invmsg=\"Blood Type Combination is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"A+\">A+<\/option><option  value=\"A-\">A-<\/option><option  value=\"B+\">B+<\/option><option  value=\"B-\">B-<\/option><option  value=\"AB+\">AB+<\/option><option  value=\"AB-\">AB-<\/option><option  value=\"O+\" selected='selected'>O+<\/option><option  value=\"O-\">O-<\/option>\t<\/select>\n\t\n\t<div class=\"frm_description\" id=\"frm_desc_field_sygdw\">Blood Group Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_21_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm3 horizontal_radio\">\n\t<div  id=\"field_z9zqy_label\" class=\"frm_primary_label\">Do you suffer from any Disease ?\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_z9zqy_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_21-0\">\t\t\t<label  for=\"field_z9zqy-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[21]\" id=\"field_z9zqy-0\" value=\"No\"\n\t\t   data-reqmsg=\"Do you suffer from any Disease ? cannot be blank.\" data-invmsg=\"Do you suffer from any Disease ? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_21-1\">\t\t\t<label  for=\"field_z9zqy-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[21]\" id=\"field_z9zqy-1\" value=\"Yes\"\n\t\t   data-reqmsg=\"Do you suffer from any Disease ? cannot be blank.\" data-invmsg=\"Do you suffer from any Disease ? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n<\/div>\n\t<div class=\"frm_description\" id=\"frm_desc_field_z9zqy\">Disease Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm3\">\n\t<label for=\"field_nkp4j\" id=\"field_nkp4j_label\" class=\"frm_primary_label\">Name of The Disease, Describe Your History in Remarks Field.\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_nkp4j\" name=\"item_meta[22]\" value=\"\"  data-reqmsg=\"Name of The Disease, Describe Your History in Remarks Field. cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of The Disease, Describe Your History in Remarks Field. is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_nkp4j\" \/>\n\t<div class=\"frm_description\" id=\"frm_desc_field_nkp4j\">Disease Name Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm3 vertical_radio frm_other_container\">\n\t<div  id=\"field_948ws_label\" class=\"frm_primary_label\">Directly Who Can Contact You ?\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_948ws_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_23-0\">\t\t\t<label  for=\"field_948ws-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[23][]\" id=\"field_948ws-0\" value=\"RaktMitra Volunteer\"  data-reqmsg=\"Directly Who Can Contact You ? cannot be blank.\" data-invmsg=\"Directly Who Can Contact You ? is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> RaktMitra Volunteer<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_23-1\">\t\t\t<label  for=\"field_948ws-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[23][]\" id=\"field_948ws-1\" value=\"Beneficiary\"  data-reqmsg=\"Directly Who Can Contact You ? cannot be blank.\" data-invmsg=\"Directly Who Can Contact You ? is invalid\" aria-invalid=\"false\"   \/> Beneficiary<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_23-2\">\t\t\t<label  for=\"field_948ws-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[23][]\" id=\"field_948ws-2\" value=\"Hospital Authority\"  data-reqmsg=\"Directly Who Can Contact You ? cannot be blank.\" data-invmsg=\"Directly Who Can Contact You ? is invalid\" aria-invalid=\"false\"   \/> Hospital Authority<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_23-other_3\">\t\t\t<label  for=\"field_948ws-other_3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[23][other_3]\" id=\"field_948ws-other_3\" value=\"Other\"  data-reqmsg=\"Directly Who Can Contact You ? cannot be blank.\" data-invmsg=\"Directly Who Can Contact You ? is invalid\" aria-invalid=\"false\"   \/> Other<\/label><label for=\"field_948ws-other_3-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_948ws-other_3-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][23][other_3]\" value=\"\" \/><\/div>\n<\/div>\n\t<div class=\"frm_description\" id=\"frm_desc_field_948ws\">Source of Contact Will Be Displayed Publically on Our WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_top_container\">\n\t<label for=\"field_3efky\" id=\"field_3efky_label\" class=\"frm_primary_label\">Remarks\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<div id=\"wp-field_3efky-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><link rel='stylesheet' id='dashicons-css' href='https:\/\/jsgblooddonors.com\/wp-includes\/css\/dashicons.min.css?ver=7.0' media='all' \/>\n<link rel='stylesheet' id='editor-buttons-css' href='https:\/\/jsgblooddonors.com\/wp-includes\/css\/editor.min.css?ver=7.0' media='all' \/>\n<div id=\"wp-field_3efky-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"field_3efky-tmce\" aria-pressed=\"true\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"field_3efky\">Visual<\/button>\n<button type=\"button\" id=\"field_3efky-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"field_3efky\">Code<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-field_3efky-editor-container\" class=\"wp-editor-container\"><div id=\"qt_field_3efky_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" rows=\"7\" autocomplete=\"off\" cols=\"40\" name=\"item_meta[24]\" id=\"field_3efky\"><\/textarea><\/div>\n<\/div>\n\n\n\t<div class=\"frm_description\" id=\"frm_desc_field_3efky\">Remarks Will Not Be Displayed Publically on WhatsApp<\/div>\n\t\n<\/div>\n<div id=\"frm_field_25_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n\t<div  id=\"field_38fco_label\" class=\"frm_primary_label\">Disclaimer\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_38fco_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_25-0\">\t\t\t<label  for=\"field_38fco-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[25][]\" id=\"field_38fco-0\" value=\"We are just Facilitate Donor&#039;s Data. We are not responsible for any direct\/indirect losses\/damages occurs out of using this data. You are using this information at your sole discretion for which none of our volunteer to be held responsible.\"  data-frmlimit=\"1\"  data-frmmin=\"1\"  data-reqmsg=\"Disclaimer cannot be blank.\" data-invmsg=\"Disclaimer is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> We are just Facilitate Donor's Data. We are not responsible for any direct\/indirect losses\/damages occurs out of using this data. 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