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Egg Donor/Surrogate Mother Volunteer Profile (##10034)📅 Schedule a Meeting:
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# Egg Donor / Surrogate Mother Application Form
Response ID: `#10058`
## 👤 Personal Information
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Date of Birth:, 1997
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Age: 27
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Blood Type: O(1)
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RH Factor: RH+
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Citizenship: Kazakhstan
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Nationality/Ethnicity: Kazakh
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Marital Status: Married
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City: Astana
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Region: North Kazakhstan
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Languages Spoken: Kazakh, Russian, Uzbek
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## 🧬 Program Participation
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I would like to be a: Egg Donor
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Egg Donation Experience: Yes
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Surrogacy Experience: No
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Support from Spouse (if applicable): No
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## 🩺 Medical Information
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Height: 1.61 m
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Weight: 74 kg
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Body Type: 74 kg
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Shoe Size: 37
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Clothing Size: 46
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Eye Color: Hazel / Chameleon
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Hair Color: Brown
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Vision: Very Good
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Do you wear glasses? No
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Do you smoke? No
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Do you have any allergies? No
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Have you had any surgeries? Yes
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History of major injuries? No
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History of abortion? No
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Any hereditary diseases? No
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Pregnancy complications in the past? No
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## 🩸 Menstrual Cycle
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Is your menstrual cycle regular? Yes
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Last Menstrual Period Start Date: July 29, 2024
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Cycle Start Date Noted As: July 28
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## 👶 Children
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Number of Children: 2
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Gender of Children: 1 boy, 1 girl
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Age of Youngest Child: 3
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## 🎓 Education & Profession
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Education Level: Secondary School
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Profession / Work Experience: Nurse / Paramedic
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## 💬 Personality & Preferences
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How would you describe yourself? Responsible
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Strongest Personality Trait: Responsible
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Favorite Food: Stew
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Life Goal: To build a good life
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Zodiac Sign: Capricorn
## ✅ Agreement
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Privacy Policy Agreement: ✅ Agree
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Willing to be contacted for staff recruitment (doctor/nurse/lawyer/multilingual): ✅ YES
