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Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | Flute - 2 |
Other talents: Years of experience | Singing - 3 |
Favorite:
Color | Blue |
Food | Freshly baked chocolate chip cookies |
Music | Almost everything, as long as it sounds good! |
Animal | Lion |
Pet | Dog |
Car | Aston Martin Vanquish |
Movie | "The Last Samurai" |
Song | Honestly too many to settle on one |
Play | "The Phantom of the Opera" |
Goals:
Academic | Become a doctor |
Professional | Be a doctor who makes a positive contribution to society every single day |
Personal | Live a simple and happy life with my family |
Religion:
Faith | Other |
Denomination | Hindu |
Languages:
Speak | English, Spanish, Telugu |
Read | English, Spanish, Telugu |
Write | English, Spanish, Telugu |
Sports:
Play | Basketball, Football, Tennis |
Watch | Basketball, Football, Tennis |
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 | 2310 - out of 2400 |
ACT on scale of | 35 - out of 36 |
GRE on scale of | N/A |
MCAT on scale of | 35 - out of 45 |
LSAT on scale of | N/A |
GMAT on scale of | N/A |
TOEFL on scale of | N/A |
Other on scale of | N/A |
High School
Question | Response | on scale of |
GPA on scale of | 3.89 | 4.00 |
College
Question | Response | on scale of |
GPA on scale of | 3.70 | 4.00 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A | (Pass/Fail) |
Subjects Studied:
Major subjects | Biology, Chemistry, Physics |
Minor subjects | Film Music |
Degrees
Bachelor's | N/A |
Master's | N/A |
Doctorate | Pursuing BS/MD/Medicine (combined 6 year program) |
Other(s) | N/A |
Awards & Activities
High school | President’s Volunteer Service Award |
College | Dean's List |
Academic | AP Scholar with Distinction |
Professional | N/A |
Political | N/A |
Personal | N/A |
Charitable | N/A |
Others | N/A |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Right-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 14 |
Chest (inches) | 38 |
Inseam (inches) | 30 |
Waist (inches) | 32 |
Sleeve (inches) | 37 |
Wrist (inches) | 6.5 |
Hat size | 7.25 |
Shoe size | 11 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 11 |
Laser surgery? | No |
Dental:
Device | Retainer |
Reason | Cosmetic |
Age range during use | 16-20 |
Other Physical Aids:
List | N/A |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
|
Size |
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Shape |
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Color |
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Shade |
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Eyebrows:
Arch |
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Thickness |
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Set |
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Nose:
Size |
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Shape |
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Width |
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Length |
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Bridge |
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Nostril flare |
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Septum |
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Cheekbones:
Set |
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Prominence |
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Mouth:
Size |
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Lips |
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Turn |
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Teeth:
Size |
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Set |
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Condition |
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Chin:
Shape |
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Prominence |
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Cleft |
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Ears:
Size |
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Set |
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Angle |
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Lobe size |
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Lobe attachment |
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Hair:
Color at birth |
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Natural color in adulthood |
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Shade |
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Type |
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Fullness |
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Texture |
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Skin:
Tone |
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Tan ability |
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Condition |
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Hairline:
Forehead |
|
Contour |
|
Other Facial Features:
Moles |
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Freckles |
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Dimples |
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Adam's apple |
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Facial Hair
Thickness |
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Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Administrator |
Donor's Father Education:
Level | Graduate school |
Degree | Master |
Subject | Engineering |
Donor's Father Religion:
Faith | Other |
Denomination | Hindu |
Primary ethnic origins: | Indian |
Donor's Father Languages:
Speak | English, Hindi, Telugu |
Read | English, Hindi, Telugu |
Write | English, Telugu |
Donor's Father Talents:
Voice | Tenor |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 50 |
Height | 5'8" |
Weight | 158 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Dark |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 0 |
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 | None |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Mother Personal Information
Occupation | Homemaker |
Donor's Mother Education:
Level | High school |
Degree | Not Completed |
Subject | General Studies |
Donor's Mother Religion:
Faith | Other |
Denomination | Hindu |
Primary ethnic origins: | Indian |
Donor's Mother Languages:
Speak | English, Telugu |
Read | English, Telugu |
Write | English, Telugu |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 39 |
Height | 5'2" |
Weight | 140 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Dark |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 0 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | MedDk |
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 | 0 |
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 | 16 |
Height | 5'1" |
Weight | 115 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Student |
Education:
Level | High school |
Degree | Pursuing |
Subject | General Studies |
Religion:
Faith | Other |
Denomination | Hindu |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Alto |
Instrument Years of experience | None |
Other Years of experience | Choir - 3 |
Sibling #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Wavy |
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 | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 3 |
Ages of Brothers: | 52, 39 (deceased), 45 |
Education levels for each: | High school, Master's, Bachelor's |
Occupations for each: | Landowner, Lab Technician, Pharmacist |
Religions for each: | All are Hindu |
Father's Brothers' Total Children:
# Boys | 4 |
# Girls | 2 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 35 |
Education levels for each: | Master's |
Occupations for each: | Engineer |
Religions for each: | Hindu |
Mother's Brothers' Total Children:
# Boys | 0 |
# Girls | 1 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 37 |
Education levels for each: | Bachelor's |
Occupations for each: | Homemaker |
Religions for each: | Hindu |
Mother's Sisters' Total Children:
# Boys | 0 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | Grade school |
Degree | None |
Subject | General Studies |
Occupation: | Farmer |
Primary ethnic origins: | Indian |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | Telugu |
Religion | Hindu |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | Grade school |
Degree | None |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Indian |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | Telugu |
Religion | Hindu |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Landowner |
Primary ethnic origins: | Indian |
Siblings:
# Brothers | 3 |
# Sisters | 0 |
Other:
Languages | Telugu |
Religion | Hindu |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | Grade school |
Degree | None |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Indian |
Siblings:
# Brothers | 2 |
# Sisters | 3 |
Other:
Languages | Telugu |
Religion | Hindu |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |