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Egg Donor/Surrogate Mother Volunteer Profile (##10005)📅 Schedule a Meeting:
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# 2025 Egg Donor and Surrogate Volunteer Application
ID: #10005
Applied For: Egg Donor
Referrer: (None)
## I. Personal Information
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Date of Birth: 2000
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Age: 25
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Citizenship: Republic of Kazakhstan
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Ethnicity: Romani
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Blood Type: AB (RH+)
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Marital Status: Married (living with spouse)
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Children: No
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Education Level: Secondary Specialized
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Occupation: Marketing Specialist
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Languages Spoken: Russian, English, Kazakh
## II. Appearance & Lifestyle
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Height: 160 cm
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Weight: 55 kg
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Eye Color: Green
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Hair Color: Brown
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Skin Type: Medium (olive, rarely burns)
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Clothing Size: M
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Shoe Size: 36
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Do you smoke?: No
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Allergies: No
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Hobbies: Horse riding, sports
## III. Health & Menstrual Cycle
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Is your cycle regular?: Yes
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Date of last menstruation: May 24, 2025
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Any surgeries?: Yes
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Chronic diseases?: No
## IV. Reproductive & Donation History
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Been pregnant before?: Yes
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Abortions?: No
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C-Sections?: No
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Pregnancy complications?: No
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Previously participated in donation?: No
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Times donated before: 0
## V. Family Medical History
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Mother’s age: 43
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Father’s age: 44
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Hereditary diseases in family?: No
## VI. Willingness & Location
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Willing to participate in egg donation?: Yes
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City and country of residence: Semey, Kazakhstan
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Agree to ivfhub privacy policy?: Yes
