Donor Registration

Tell Us About Yourself

Full Name (as per IC) *

Date of Birth *

Age *

NRIC / Passport No. (International) *

Contact Number *

Email *

Height *

Weight *

Hair Colour *

Hair Type *
StraightWavyCurly

Employment Status *
— Select Employment Status —Full-TimePart-TimeStudentUnemployed

Highest Level of Education *
— Select Education Level —Secondary SchoolProfessional CertificationDiplomaBachelor'sMaster'sDoctorate (PhD)Other

Course of Study *
E.g., “SPM / Bachelor of Science”

Hobbies *

Religion *
— Select Religion —BuddhistChristianHinduAtheist / AgnosticOther

Ethnicity *
ChineseIndianOther

Blood Group *
— Select Blood Group —A+B+AB+O+I'm Unsure

No. of Siblings *

Estimated Upcoming Menstrual Cycle Start Date

Your Personal Health Background

Are you a virgin? *
YesNo

Do you smoke / vape? *
YesNo

Do you have asthma? *
YesNo

Are you currently using any birth control methods? (e.g., condoms, IUD, etc.) *
YesNo

Do you have thalassemia? *
YesNo

Is your menstrual cycle regular? *
YesNo

Have you ever had an abortion? *
YesNo

Upload 5 Clear and Recent Photos of Yourself *