Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | N/A |
| Other talents: Years of experience | Public speech - 7 |
Favorite:
| Color | Blue |
| Food | Spicy Nepalese/Indian/Middle Eastern |
| Music | Dance music, country |
| Animal | Dogs |
| Pet | None |
| Car | Lexus |
| Movie | Comedy movies |
| Song | Bruno Mars playlist |
| Play | N/A |
Goals:
| Academic | PhD in Chemistry, Masters in business |
| Professional | Senior research scientist, CEO of a company |
| Personal | Become a millionaire, be a philanthropist |
Religion:
| Faith | Other |
| Denomination | Hindu |
Languages:
| Speak | English, Nepali, Hindi, Urdu |
| Read | English, Nepali, Hindi |
| Write | English, Nepali, Hindi |
Sports:
| Play | Tennis, badminton, volleyball, cricket |
| Watch | Tennis, Soccer, Cricket |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
| Are you a twin? Identical or fraternal? | No |
| # of twins in your family | 0 |
| # Identical sets | 0 |
| # Fraternal sets | 0 |
Academics
Standard Test Score: provide score or denote N/A if not taken
| SAT on scale of | NA |
| ACT on scale of | NA |
| GRE on scale of | 314 - 340 |
| MCAT on scale of | NA |
| LSAT on scale of | NA |
| GMAT on scale of | NA |
| TOEFL on scale of | NA |
| Other on scale of | GRE Math 165 - 170 |
High School
| Question | Response | on scale of |
| GPA on scale of | 3.75 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.75 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | 3.77 | 4.0 |
Subjects Studied:
| Major subjects | Chemistry |
| Minor subjects | Biology, Biochemistry, Physics |
Degrees
| Bachelor's | Chemistry |
| Master's | Physical Chemistry |
| Doctorate | Analytical Chemistry |
| Other(s) | NA |
Awards & Activities
| High school | Ranked 1st in class |
| College | Ranked 1st in class |
| Academic | State graduate student of the year |
| Professional | Reviewer for peer reviewed articles |
| Political | N/A |
| Personal | Cooking, Singing |
| Charitable | Provided translations to allow services for a wider community, volunteered at food pantries |
| Others | Sports, Photography |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Medium |
Sizes & Measurements
| Neck (inches) | 14 |
| Chest (inches) | 40 |
| Inseam (inches) | 30 |
| Waist (inches) | 32 |
| Sleeve (inches) | 32 |
| Wrist (inches) | 6.5 |
| Hat size | 7 |
| Shoe size | 9.5 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | None |
| Reason | N/A |
| Age range during use | N/A |
Other Physical Aids:
| List | NA |
| Reason/cause | NA |
Facial Features
Eyes:
| Set |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
|
| Thickness |
|
| Set |
|
Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
|
| Nostril flare |
|
| Septum |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone |
|
| Tan ability |
|
| Condition |
|
Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Teacher |
Donor's Father Education:
| Level | Trade school |
| Degree | Other |
| Subject | Science and Math, License to teach from Nepalese Government |
Donor's Father Religion:
| Faith | Other |
| Denomination | Hindu |
| Primary ethnic origins: | Nepalese |
Donor's Father Languages:
| Speak | Nepali, Hindi, English |
| Read | Nepali, Hindi, English |
| Write | Nepali, Hindi, English |
Donor's Father Talents:
| Voice | Baritone |
| Instrument yrs experience | N/A |
| Other yrs experience | N/A |
Donor's Father Physical Information
Body
| Age | 57 |
| Height | 5'8" |
| Weight | 185 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 57 - 1 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | 50 |
| Type | Straight |
Skin:
| Skin Tone | Med |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Mother Personal Information
| Occupation | Homemaker |
Donor's Mother Education:
| Level | Grade school |
| Degree | Not Completed |
| Subject | General studies |
Donor's Mother Religion:
| Faith | Other |
| Denomination | Hindu |
| Primary ethnic origins: | Nepali |
Donor's Mother Languages:
| Speak | Nepali |
| Read | Nepali |
| Write | Nepali |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument yrs experience | N/A |
| Other yrs experience | N/A |
Donor's Mother Physical Information
Body
| Age | 45 |
| Height | 5'2" |
| Weight | 120 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | 45 |
| Type | Straight |
Skin:
| Skin Tone | Med |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Sex | Female |
| Age | 35 |
| Height | 5'5" |
| Weight | 130 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Business manager |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Business |
Religion:
| Faith | Other |
| Denomination | Hindu |
Languages:
| Speak | Japanese, Nepali, English, Hindi |
| Read | Japanese, Nepali, English, Hindi |
| Write | Japanese, Nepali, English, Hindi |
Talents:
| Voice | Alto |
| Instrument Years of experience | N/A |
| Other Years of experience | N/A |
Sibling #1 Children:
| # Boys Ages: | 1 - 4 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | Light |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | Slight |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Brothers
| # of Brothers | 4 |
| Ages of Brothers: | 59, 55, 53, 47 |
| Education levels for each: | High school, High school, High school, High school |
| Occupations for each: | Politician, Contractor, Teacher/Priest, Businessman |
| Religions for each: | Hindu, Hindu, Hindu, Hindu |
Father's Brothers' Total Children:
| # Boys | 4 |
| # Girls | 4 |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 56, 51 |
| Education levels for each: | High school, Masters |
| Occupations for each: | Teacher, Bureaucrat |
| Religions for each: | Hindu, Hindu |
Mother's Brothers' Total Children:
| # Boys | 3 |
| # Girls | 5 |
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 65, 63 |
| Education levels for each: | High school, Grade level |
| Occupations for each: | Social worker, Homemaker |
| Religions for each: | Hindu, Hindu |
Mother's Sisters' Total Children:
| # Boys | 6 |
| # Girls | 4 |
Father's Parents
Father's Father
Education
| Level | Religious study degree |
| Degree | Religious study degree |
| Subject | Hindu scriptures |
| Occupation: | Priest |
| Primary ethnic origins: | Nepali |
Siblings:
| # Brothers | 1 |
| # Sisters | 3 |
Other:
| Languages | Nepali, Sanskrit |
| Religion | Hindu |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Father's Mother
Education
| Level | No education |
| Degree | N/A |
| Subject | N/A |
| Occupation: | Homemaker |
| Primary ethnic origins: | Nepali |
Siblings:
| # Brothers | 2 |
| # Sisters | 2 |
Other:
| Languages | Nepali |
| Religion | Hindu |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | Hindu scripture |
| Degree | Hindu scripture |
| Subject | Hindu scripture |
| Occupation: | Farmer |
| Primary ethnic origins: | Nepali |
Siblings:
| # Brothers | 5 |
| # Sisters | 0 |
Other:
| Languages | Nepali, Sanskrit |
| Religion | Hindu |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Mother
Education
| Level | Grade School |
| Degree | None |
| Subject | General studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | Nepali |
Siblings:
| # Brothers | 2 |
| # Sisters | 2 |
Other:
| Languages | Nepali |
| Religion | Hindu |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |