Blood Donor Registration Company Full Name: * Phone Number: * Email Address: * Gender: * Male Female Date Of Birth * Pick State * Abia Adamawa Anambra Akwa Ibom Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Enugu Edo Ekiti Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara Choose a State or Collection Centre Current Location: * Please tell us your current location. Genotype: * Not Sure AA AS SS Blood Group: * O-Positive O-Negative A-Positive A-Negative B-Positive B-Negative AB-Positive AB-Negative Not Sure Last Donation: * Recently Never Before About a year. Additional Information: Any neccessary additional information.
