GCC Community Care Blood Donors Registry Form | GCC社区关怀捐血登记表
This registry is open to all church members or non members above the age of 18 years.
此登记开放给18岁以上的教会会友及非会友。
Donor Information 捐血者资料
Name (as per IC) 姓名 *
Your answer
Contact 联络号码 *
Your answer
Gender 性别 *
Your answer
Email 电邮
Your answer
Blood type 血型
Last Donation 最近捐血日期
MM
/
DD
/
YYYY
Consent 同意书
I hereby agree to be a part of the GCCCC’s Blood donor’s registry. I understand that I may receive alerts and text messages. I also understand that it is my responsibility to disclose any relevant information about my ability to donate blood. 我同意加入GCC捐血运动及了解后续通知. 我有责任公开是否有能力捐血的相关资料. *
Required
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