ConvoCare: Blood Donation X Medical Checkup

Participant Registration Form

🩸 CONVOCARE: BLOOD DONATION x MEDICAL CHECKUP 🩺

Take a moment to care for your health and make a difference in someone else’s life! ❤️

Join us for ConvoCare: Blood Donation x Medical Checkup, a health-focused initiative organised as part of ConvoFest 2026, in collaboration with healthcare and student organisations.

📅 Date: 31 October 2026
🕘 Time: 9:00 AM – 4:00 PM
📍 Venue: Block H CETaL, Universiti Teknologi PETRONAS

The event features:
🩸 Blood Donation Drive – Donate blood and contribute to saving lives.
🩺 Medical Checkup – Get a basic health checkup and learn more about your health.

Participation is free of charge. Please fill in the form to register your participation. Your information will be kept confidential and used only for event registration and coordination purposes.

Come donate, get checked, and care for your community! ❤️

For any inquiry, please contact:

Sophia (+60 12-399 8100)

Hanie (+60 13-808 6277)

Summary

Personal Data Protection Act (PDPA) Consent

I hereby consent for the collection and processing of my personal data by Universiti Teknologi PETRONAS for the purpose of events and for any other purpose stated in the Privacy Notice for Events which can be viewed at www.utp.edu.my By submitting this form, I am deemed to have expressly agreed and consented to the collection, processing, use, disclosure and retention by Universiti Teknologi PETRONAS (UTP) of my personal data in the manner as set out in the Personal Data Notice given pursuant to Section 7 of the Personal Data Protection Act 2010, which can be viewed at www.utp.edu.my. I am further deemed to have expressly agreed and consented to ITPSB processing my personal data for direct marketing purposes, and to receive marketing, advertising and promotional information, materials and/or documents about UTP's products and/or services, or such products and/or services by UTP's business or strategic partners, and any related promotions, programmes, events, or contests organized by UTP.

Yes, I agree

ConvoCare: Blood Donation X Medical Checkup

Participant Registration Form

Donor's Information

General Questions

Have you ever donated blood before?

Are you aware that you should be in a good health before donating blood?

Do you know that you should eat a healthy meal before donation?

Are you aware that you must drink plenty of water before donation?

Do you know that you must get at least 5-6 hours of sleep before donation?

Crowdfunding

Summary

Personal Data Protection Act (PDPA) Consent

Thank you for registering! See you there!