Register now - in less than 2 minutes

One more step to complete your registration

Please confirm your information

Personal information
Salutation

Mr.

Mrs.

Title

First name

Last name
Private address
We will send the registration kit to this address. Please do not enter a business address, since we create your donor profile with this data.

Street

House number

Apartment (optional)

c/o (optional)

ZIP

City
Contact details
Please provide us with at least one telephone number (landline or mobile phone). In case you are a potential stem cell donor, it is quickest for us to contact you via telephone.

Cell phone number *

Telephone number (private) *

Email address (private if possible)
Additional Information
We are not concerned with nationality, but with your genetic ancestry. Please select the country of origin of your parents. If your parents come from different countries, please choose the rarer origin. This information will help us to find the right donor more quickly.

Ancestry

How did you hear about us?
Declaration of Consent
Your data is only used in the search for a matching stem cell donor, and in order to make contact with you. All our data is saved on protected servers.

I hereby consent to the processing of my personal data in order to send a registration kit with a pre-filled consent form and related queries. I confirm I have read the notes on data protection.
Subscription to the DKMS newsletter
Yes, I would like to receive regular information about DKMS via email.
Personal data
Private address
Contact details
Additional Information

* Mandatory Fields