menu

Register as a Donor!

Confirm your information

Take the first step by signing up for your DIY Swab Kit. All it takes is a simple cotton swab and a few minutes of your time to register as a lifesaving blood stem cell donor.
Please review your information below to ensure it is correct.
  1. Eligibility
    • Please check, if you are eligible to become a potential blood stem cell donor. If you find out that you are not eligible, there are many other ways to support us! Give OR Find other ways to help
    • If you have or have had in the past, a chronic or serious condition, or take any medication regularly, please review the list of conditions.
  2. Personal Information
    • Residential address
    • Postal address, mandatory if different from the residential address
  3. Contact details
  4. Additional information
  5. Additional contacts
    • First additonal contact
    • Second additonal contact
  6. Your data protection
    • DKMS Africa is committed to safeguarding your personal information. After your cheek swab sample has been returned and you have been fully typed, your tissue characteristics will be added anonymously to DKMS Africa´s Stem Cell Registry for search purposes. Whenever you provide personal information, we are legally obliged to use your information in line with all laws concerning the protection of personal information.
  7. Disclosure
    • As a potential donor you will receive regular newsletters, medical information, process-related updates and general information about DKMS Africa. If you don't want to receive further emails, you can unsubscribe by sending an email to datamanagement@dkms-africa.org with the subject "NONEWS".
  8. Please review your information below to ensure it is correct.
    •  
    • Electronic Signature

      By entering my full name (First and Last) into the field below, I acknowledge that I have read, understand and agree with the above. I agree that my typewritten name in the field below constitutes my legal signature and is equivalent to my handwritten signature.

* Mandatory Fields