I declare that the information I have supplied in this application is true and correct to the best of my knowledge. If I am accepted as a Volunteer and the foregoing information is incorrect it may result in the termination of my responsibilities as a Volunteer.
I consent to New Zealand Blood Service seeking confidential verbal or written information about me from my nominated referees, relating to my application to become a volunteer and authorise the information sought to be released.
If successful, this information will be retained by NZBS in a secure place. You are entitled to access all personal information upon request. All information is requested in accordance with the Privacy Act 1993, and the Human Rights Act 1993.