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Shamrao Bhagwat Chabukswar

&

Soubhagya Kadam

DONOR 1

Fullname

Shamrao Bhagwat Chabukswar

Country

United States

Address

4367 Mayfield Ranch Blvd Round Rock TX 78681

Eye Color

Brown

Hair Color

Black

Height

165cm

Ethnicity

East Indian

Education

Graduate degree

Hobbies

Cooking, Photography, Playing sports

Anything else would you like to mention about your family medical history to the
Adoptive parent

Anything else would you like to mention about your talents,skills,interests 

DONOR 2

Fullname

Soubhagya Kadam

Country

United States

Address

4367 Mayfield Ranch Blvd Round Rock TX 78681

Eye Color

Black

Hair Color

Black

Height

143cm

Ethnicity

East Indian

Education

Graduate degree

Hobbies

Cooking, Reading

Anything else would you like to mention about your family medical history to the
Adoptive parent

Anything else would you like to mention about your talents,skills,interests 

BASIC INORMATION

Full name

Shamrao Bhagwat Chabukswar

Soubhagya Kadam

Country

United States

United States

Address

4367 Mayfield Ranch Blvd Round Rock TX 78681

4367 Mayfield Ranch Blvd Round Rock TX 78681

Eye color

Brown

Black

Hair color

Black

Black

Height

165cm

143cm

Ethnicity

East Indian

East Indian

Education

Graduate degree

Graduate degree

Hobbies

Cooking, Photography, Playing sports

Cooking, Reading

Anything else would you like to mention about your talents, skills, interests

Anything else would you like to mention about your family medical history to the
adoptive parent

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

1

Have the embryos been genetically tested

Yes

Do you know the gender of the embryos

Male

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

No

5-7 days

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 5 years ago

Less than 35 years old

Have the embryos from this batch been already donated to another adoptive parent

No

Embryo

MEDICAL HISTORY

DONOR 1

DONOR 2

Allergy

Alzheimer

Anxiety

Asthma

Donor's parent

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's parent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's parent

Hemochromatosis

High blood pressure

Donor's parent

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's parent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's parent

Hemochromatosis

High blood pressure

Donor's parent

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

DONOR 2

allergy

alzheimer

anxiety

asthma 

Donor's parent

autism

bipolar disoder

cancer

celiac disease

cystic fibrosis

depression

diabetes

epilepsy

fibromyalgia

fragile x syndrome

heart conditions

hemochromatosis

high blood pressure

huntington's disease

lupus

marfan syndrome

multiple sclerosis

obesity

phenylketonuria

polycystic kidney disease

rheumatoid arthritis

schizophrenia

stroke

substance abuse

Information on egg/sperm donor

Letter
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