I have read this document fully and understand its terms and sign it voluntarily. I agree that the information provided in this form is complete, accurate, true and correct. I consent to the collection, use and disclosure of my personal data as provided in this form in accordance with the Personal Data Protection Act 2012, BMDPʼs Privacy Statement and Data Protection Policy
I consent to my sample being taken for tissue typing and to add my profile with the BMDP.
I will stay on the register until I am 60 unless I ask for my details to be removed.
I understand that I may withdraw my consent at any time by contacting the BMDP.
I further understand, acknowledge and agree to the transfer of my personal data to other jurisdictions which may be necessary to the donor matching process and I consent to BMDP to transferring my data outside Singapore.
I understand that BMDP will contact me when my personal information and medical information need to be verified and at the point I am found to be a potential match to a patient.
I give consent to BMDP contacting the alternate contact(s) I have provided should I be found as a match and will inform these contact(s) that their personal data has been provided to the BMDP for this purpose.
As a marrow donor, I consent to the BMDP sending me educational content and updates about the organisation and in the event I wish to stop receiving such updates, I have the option to ʻunsubscribeʼ on the newsletter or by writing in to the BMDP.
For Donors under 21
I understand and agree that I will have to seek my parents written consent before undergoing the stem cell/ bone marrow donation procedure if i am identified to be a suitable match for any patient.