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I want to become a sperm donor

We greatly appreciate your willingness to help infertile couples. Please complete the following form truthfully.

    Personal details

    Full name

    Street and number

    City

    Postal code

    E-mail

    Phone number

    Citizenship

    Date of birth

    Day

    Month

    Year

    Additional information

    Height in cm

    Weight in kg

    Eye color

    Hair color

    Health insurance

    Have you completed at least secondary education with graduation?

    Is your health condition free of serious diseases (including congenital and mental)?

    Do you have a child/children?

    Have you ever been treated for infertility?

    Have you ever donated sperm?

    At which of our centers would you like to donate sperm?

    We will contact applicants only if the conditions are met.

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    Thank you for your interest in helping infertile couples.

    We will contact you by telephone or email no later than the next business day; please remember to check your spam folder as well.