NHSBT uses cookies which are essential for the site to work. We also use non-essential cookies to help us improve our services, any data collected is anonymised. By continuing to use this website you agree to our use of cookies. Read more about our cookies OK Auxiliary nav MENU You are here: Home Register your decision Donate Register a decision to donate Use this form to record a decision to donate some or all of your organs and tissue. Fields marked * are mandatory Cymraeg About you Title Title Ms Mx Master Father Dame Mr Mrs Miss Doctor Councillor Captain Colonel Executors of Lady Lord Professor Reverend Sir First name * Last name * Middle name Preferred name Date of birth * Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Your address Enter your postcode and select your address, we will do the rest Postcode Search * Find address Your contact details We will only use these details to contact you about your registration if we need to obtain any additional information Email Telephone Mobile Preferred form of contact Please select Post Email Telephone Mobile Your choice You can choose to donate some, or all, of your organs and tissue I want to donate * All my organs and tissue Some organs and tissue Faith/beliefs We are committed to supporting your faith and beliefs throughout the organ or tissue donation process. In the event of your death we will tell your family that your faith and beliefs are important to you, support your family to speak to your faith leader or a representative of your belief system, and provide information to support the discussions. Our full faith and beliefs commitment I would like NHS staff to speak to my family and anyone else appropriate about how organ donation can go ahead in line with my faith or beliefs. Yes - this is applicable to me No - this is not applicable to me or Prefer not to say Additional information This optional information is only used by NHSBT for analysis of the NHS Organ Donor Register and is not stored against your registration Ethnicity Please select Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Bangladeshi Asian or Asian British - Chinese Asian or Asian British - Other Gypsy or Irish Traveller Arab Black or Black British - Caribbean Black or Black British - African Black or Black British - Other Other White - British, English, Northern Irish, Scottish or Welsh White - Irish White - Other Mixed - White and Black Caribbean Mixed - White and Black African Mixed - White and Asian Mixed - Other Religion Please select No religion Christian - Protestant Christian - Catholic Christian - Other Buddhist Hindu Jewish Muslim Sikh Other Not stated Confirmation I have read the privacy statement and give consent for the use of my information in accordance with the terms Give Feedback Contact us Accessibility Cookies Privacy Site map You can call us on: 0300 123 23 23 Blood Donation Platelet Donation British Bone Marrow Registry Tissue Donation Cord blood bank