NZBLOOD – Te Ratonga Toto O Aotearoa.

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0800 448 325

Are you eligible to give blood?

Where can I donate blood?

Did you know?

There are four main blood types A, B, AB and O in the ABO blood group system.

Volunteer registration

General Information

  • Please personally complete this application form in full.
  • If successful, this information will be retained by NZBS. 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.
Applicant to complete

* Indicates a required field

Yes No
Yes No
Yes No
Where would you like to undertake your volunteer duties?
Health
Yes No
Yes No
Yes No
Yes No
Referees

Referee one

Referee two

Next of kin

Declaration

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.

I accept the above Terms and Conditions

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