Donor Registration

Full Name

Password

Phone

Address

Donor Declaration

I understand that I should not donate blood if:

I consume illegal drugs.
I have HIV/AIDS, Hepatitis B or C, Syphilis, or other sexually transmitted infections.
I am currently sick or medically unfit to donate.

I understand that donation depends on facility screening and medical approval.

Blood Type

Age

Gender

Weight (kg)

I confirm that I read and comply with the donor declaration.