Blood safety is a major issue all over the world in transfusion medicine. For this, donor selection is necessary in addition to the screenings of blood bags for infectious diseases. Deferrals lead to loss of precious blood/ components available for transfusion. For preventing this, we should be having knowledge of causes of deferral and their frequency. In this study, causes of donor deferral were evaluated retrospectively from January 2007 to December 2011 in the blood bank of Jawaharlal Nehru Medical College (JNMC), Aligarh Muslim University (AMU), ALIGARH (India). Analysis of the deferrals showed that temporary deferral was more common than permanent deferral. Most common cause in permanent deferral was HBsAg positivity. Causes among temporary deferral were anemia (Hb<12.5 gm%), malaria in last 3 months, jaundice, alcohol intake in last 3days, weight <45 kg, age <18 yrs, patients on antibiotic, previous donation in last 3 month, typhoid in last 1 year, dog bite etc.