Donor Information

Your ID number will help us to track your donation
If you provide the contact details, it help us to contact you for if any adjective result of the blood
Gender *

I understand that

  1. Blood donation is totally voluntary act and no inducement or remuneration has been offered.
  2. Donation of blood/components is a medical procedure and that by donating voluntarily, I accept the risk associated with this procedure.
  3. The surplus plasma component will be utilised for fractionation and derivation of essential plasma derived medicines.
  4. My blood will be tested for Hepatitis B, Hepatities C, Malaria Parasite, HIV/AIDS and venereal diseases in addition to any other screening tests required to ensure blood saftey.
  5. Any abnormal tests results will be informed at the address furnished.

prohibit any information provided by me or about my donation to be disclosed to any individual or government agency without my prior permission.

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