Questions
Personal Information
Talents:
Voice: | Tenor |
Tell us about your interests/talents and how long you have been pursuing. Provide several. | I like exploring the world. I have always been curious about biological laws. |
Favorite:
Color | Blue |
Food | Vegetarian |
Music | Jazz |
Animal | Fish |
Pet | N/A |
Car | BMW |
Movie | Action movies, Rom-Com |
Song | Ed Sheeran, Adele, Freddie Mercury, The Beatles |
Goals:
Academic | Professor |
Professional | Neurosurgeon |
Personal | A happy father of three kids. |
Religion:
Faith | Hindu |
Denomination | N/A |
Languages:
Speak | Nepali, Hindi, English, Spanish |
Sports:
Play | Cricket, Football, Chess |
Watch | Everything except Golf and Polo |
Siblings:
Are you or any of your siblings twins? Please specify who and if they are fraternal or identical | No |
Academics
Standard Test Score: provide score or denote N/A if not taken
SAT on scale of | N/A - N/A |
ACT on scale of | N/A - N/A |
GRE on scale of | N/A - N/A |
MCAT on scale of | N/A - N/A |
LSAT on scale of | N/A - N/A |
GMAT on scale of | N/A - N/A |
TOEFL on scale of | N/A - N/A |
Other on scale of | USMLE STEP 1 250 - 280 |
High School
Question | Response | on scale of |
GPA on scale of | 83.2 | 100 |
College
Question | Response | on scale of |
GPA on scale of | 70 | 100 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A | 0 |
Subjects Studied:
Major subjects | Internal Medicine and General Surgery |
Minor subjects | N/A |
Degrees
Bachelor's | MBBS (in Nepal) |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Cricket |
College | Pre-medicine studies |
Academic | N/A |
Professional | N/A |
Political | N/A |
Personal | Exploring the World |
Charitable | N/A |
Others | Chess |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | N/A |
Physical Features
Hands | Ambidextrous |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 16 |
Chest (inches) | 45 |
Inseam (inches) | 34 |
Waist (inches) | 32 |
Sleeve (inches) | 28 |
Hat size | 6 ¾ |
Shoe size | 8 |
Physical Aids
Eyes:
Vision | Far-Sighted |
Glasses | Single - -1.75 |
Astigmatism | No |
Age started wearing glasses/contacts | 19 |
Laser surgery? | No |
Dental:
Device | None |
Reason | N/A |
Age range during use | N/A |
Other Physical Aids:
List | N/A |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
|
Size |
|
Shape |
|
Color |
|
Shade |
|
Eyebrows:
Arch |
|
Thickness |
|
Set |
|
Nose:
Size |
|
Shape |
|
Width |
|
Length |
|
Bridge |
|
Nostril flare |
|
Cheekbones:
Set |
|
Mouth:
Size |
|
Lips |
|
Turn |
|
Teeth:
Size |
|
Set |
|
Gap | No |
Condition |
|
Chin:
Shape |
|
Prominence |
|
Cleft |
|
Ears:
Size |
|
Set |
|
Angle |
|
Lobe size |
|
Lobe attachment |
|
Hair:
Color at birth |
|
Natural color in adulthood |
|
Shade |
|
Type |
|
Fullness |
|
Texture |
|
Skin:
Tone More about skin tones |
|
Tan ability |
|
Condition |
|
Hairline:
Forehead |
|
Contour |
|
Other Facial Features:
Moles |
|
Freckles |
|
Dimples |
|
Adam's apple |
|
Facial Hair
Thickness |
|
Color |
|
Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Consultant |
Donor's Father Education:
Level | Graduate school |
Degree | Master |
Subject | Sociology, Rural Development |
Donor's Father Religion:
Faith | Hindu |
Denomination | N/A |
Donor's Father Languages:
Speak | Nepali, Hindi, English |
Donor's Father Talents:
Voice | Tenor |
Instrument | N/A |
Other | N/A |
Donor's Father Physical Information
Body
Age | 53 |
Height | 5' 7" |
Weight | 154 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Corrective Lenses | No |
Hair:
Original hair color | Black |
Type | Straight |
Skin:
Skin Tone More about skin tones | Limestone |
Other:
Chin cleft | Medium |
Ear lobe | Attached |
Facial Dimples | None |
Donor's Mother Personal Information
Occupation | Teacher |
Donor's Mother Education:
Level | Graduate school |
Degree | Master |
Subject | Curriculum Management and Education |
Donor's Mother Religion:
Faith | Hindu |
Denomination | N/A |
Donor's Mother Languages:
Speak | Nepali, Hindi, English |
Donor's Mother Talents:
Voice | Soprano |
Instrument | N/A |
Other | N/A |
Donor's Mother Physical Information
Body
Age | 46 |
Height | 5' 1" |
Weight | 132 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Corrective Lenses | No |
Hair:
Original hair color | Black |
Type | Straight |
Skin:
Skin Tone More about skin tones | Honey |
Other:
Chin cleft | Slight |
Ear lobe | Attached |
Facial Dimples | None |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Age | 23 |
Height | 5' 1" |
Weight | 110 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Physician |
Education:
Level | College |
Degree | Bachelor |
Subject | MBBS |
Languages:
Speak | English, Nepali, Hindi |
Talents:
Voice | Soprano |
Instrument | N/A |
Other | N/A |
Sibling #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
Corrective Lenses | No |
Hair:
Original hair color | Black |
Type | Straight |
Skin:
Skin tone More about skin tones | Chestnut |
Other:
Chin cleft | Medium |
Ear lobe | Detached |
Facial dimples | None |
Father's Siblings
Father's Brothers
# of Brothers | 1 |
Ages of Brothers: | 56 |
Education levels for each: | High School |
Occupations for each: | Teacher |
Father's Brothers' Total Children:
# Boys | 2 |
# Girls | 4 |
Father's Sisters
# of Sisters | 2 |
Ages of Sisters: | 60, 57 |
Education levels for each: | Grade School, Grade School |
Occupations for each: | Homemaker, Homemaker |
Father's Sisters' Total Children:
# Boys | 6 |
# Girls | 4 |
Mother's Siblings
Mother's Brothers
# Brothers | 2 |
Ages of Brothers: | 50, 43 |
Education levels for each: | Some College, Some College |
Occupations for each: | Business, Homemaker |
Mother's Brothers' Total Children:
# Boys | 1 |
# Girls | 3 |
Mother's Sisters
# Sisters | 3 |
Ages of Sisters: | 51, 48, 38 |
Education levels for each: | Grade School, Grade School, Graduate School |
Occupations for each: | Homemaker, Business, Banker |
Mother's Sisters' Total Children:
# Boys | 4 |
# Girls | 2 |
Father's Parents
Father's Father
Education
Level | Some college |
Degree | Not Completed |
Occupation: | Priest |
Siblings:
# Brothers | 4 |
# Sisters | 2 |
Other:
Languages | Nepali |
Religion | Hindu |
Father's Mother
Education
Level | Unknown |
Degree | Not Completed |
Occupation: | Homemaker |
Siblings:
# Brothers | 2 |
# Sisters | 4 |
Other:
Languages | Nepali |
Religion | Hindu |
Mother's Parents
Mother's Father
Education
Level | Some High school |
Degree | Not Completed |
Occupation: | Priest |
Siblings:
# Brothers | 2 |
# Sisters | 3 |
Other:
Languages | Nepali |
Religion | Hindu |
Mother's Mother
Education
Level | Unknown |
Degree | Not Completed |
Occupation: | Homemaker |
Siblings:
# Brothers | 4 |
# Sisters | 3 |
Other:
Languages | Nepali |
Religion | Hindu |