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Donor Consent Form

Dear Donor, we are honoured to know that you were identified as a matching donor. We’d love to share your story to inspire others to register as potential donors. Please give your consent and provide some background information. We’ll send the draft to you for review and approval before publication.
Date of Birth
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Tell us a little about yourself and your motivation to become a donor.
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Who was the first person you told after you received the call (that you were a donor) and what was their response?
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What were your biggest concerns and how did you overcome them?
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What's your message to the patient you donated for?
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Where/when did you register to become a donor?
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What do you remember about the day you went to donate?
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How did you get mentally ready for the donation?
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Did you know anything about stem cell donation and the need for donors beforehand?
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Any message from you to the public about your experience? 
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Where We May Share Your Story

Please indicate where you consent to DKMS Africa sharing your story, photographs and any related content.

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DKMS Africa is the trading name of DKMS Foundation NPC registered in South Africa. Reg. No: 2000/008979/08; VAT Reg. No: 4350236958; Non-Profit Organisation Reg. No: 020-728-NPO; Public Benefit Organisation (section 18A) Ref. No: 130000158 in Terms of Section 18A (2) of the Income Tax Act, No. 58 of 1962.

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