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Egg Donor/Surrogate Mother Volunteer Profile (##10003)☑️Completed Basic blood 🩸 Ultrasound scan 🧬 Chromosome 📅 Schedule a Meeting:
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# Egg Donor Application Form #10003
Project Applied For: Egg Donor
## I. Personal Information
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Date of Birth: Sep-1999
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Age: 25
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Citizenship: Kazakhstan
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Ethnicity: Korean-Kazakh
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Blood Type: B (III)
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Rh Factor: RH+
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Marital Status: Single
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Children: Yes, 2 children
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Education Level: Higher education
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Occupation: Dentist
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Languages Spoken: Russian, Kazakh, English
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## II. Physical Traits & Lifestyle
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Height: 169 cm
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Weight: 67 kg
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Eye Color: Black (very dark)
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Hair Color: Dark brown
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Skin Type: Very pale, burns easily
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Clothing Size: M (Medium)
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Shoe Size: 38
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Do you smoke? No
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Allergies: No
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Hobbies: Tennis, swimming
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## III. Health & Menstrual Cycle
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Regular Menstrual Cycle: Yes
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Last Menstrual Period: 05-June-2025
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Any surgeries? No
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Chronic illnesses? No
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## IV. Fertility & Donation History
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Have you ever been pregnant? Yes
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Any abortions? No
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C-section history: Yes
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Any pregnancy complications? No
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Previously donated eggs? Yes
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Number of donations: 2
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Number of eggs retrieved: 21–25
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## V. Family Medical History
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Mother's Age: 48
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Father's Age: 52
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Any hereditary diseases in the family? No
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## VI. Availability & Residency
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Willing to participate in egg donation program? Yes
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City and Country of Residence: Astana, Kazakhstan
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## VII. Attachments
Declaration: I have read and agree to the ivfhub privacy policy.
