All fields marked with an asterisk (*) are required

Your name (*)

Date of birth (*)

Gender (*)
MaleFemale

Blod type (*)
Group AGroup BGroup ABGroup 0

E-mail (*)

Phone number (*)

Address (*)

Zip code and country (*)

Donor's name (*)

Date of birth (*)

Gender (*)
MaleFemale

Blod type (*)
Group AGroup BGroup ABGroup 0

E-mail (*)

Phone number

Address

Zip code and country

NOTICE: According to current legislation in Turkey and the countries we cooperate with, of family relationship is considered
the fourth generation of the two lines. For all other types of donations, the Ethics committee from each country make decidion.
Relationship (*)

Attach your HLA table

Default acceptable file types (extensions) are: jpg, jpeg, png, pdf, doc, docx

[recaptcha]

SEND