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Update your details

If you are currently registered to the NZ Bone Marrow Donor Registry and wish to update your details, please enter your new details below.

Update your registry details

Mandatory fields

Your details:

First Name

Last Name

Date of Birth

Address

Contact details:

Phone number (best way to contact you)

Alternate phone number 1

Alternate phone number 2

Relative details:

Please supply the name and telephone number of a family member or a friend in New Zealand who does not live with you, in case we are unable to contact you.

Full name

Phone number

I hereby authorise and give consent to NZBMDR to:

Obtain and transfer my tissue type onto the NZBMDR database.
Give permission to be contacted for further tests should I be a potential donor for a patient needing a bone marrow transplant.
Collect and hold the details on this form, along with genetic information from my blood tests & release necessary personal and genetic information (no names) to affiliated international bone marrow donor registries, for the purposes of matching with potential bone marrow transplant recipients.