56 Aberfoyle Crescent Suite 300 • Etobicoke, ON M8X 2W4

Data Assisted Donor Selection

Donor Portfolio
Friday, January 25, 2019

I Donor ID : 3270

Specimen Preparation Available:

Geographic Restriction:

Physical Features

General:
Race: Caucasian Blood Type: B Rh Factor: Rh+

Maternal Ethnic Ancestry: Iran Paternal Ethnic Ancestry: Iran

Height: 71 Inches Weight: 180 Pounds (lbs) Bone Size: Medium/Large

Eye Color: Brown Predominant Hand: Right Complexion: Olive

Allergies?: No Specify:

Teeth Condition: Good Exercise: Regularly

Hair:
Color: Black Texture: Straight Condition of Hair: Donor's: Thick
Male Sibling's: Thick
Father's: Thick
Comments: This donor is proven fertile. Please contact RML for up to date information.

Distinguishing Characteristics

Freckles: None Location:

Dimples:No Cleft Chin:Yes

Other:

Vision
Vision without Correction : Poor Vision with Correction : Excellent

Nearsighted: Yes Farsighted: No Other:

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I Donor ID : 3270

Hearing
Hearing Normal/Abnormal : Normal
If Abnormal, Specify:

Family History

Domestic Status : Married Religious Preference:

Childhood: Muslim
Blood Siblings: Male: 4 Female:2
Currently: Muslim
Multiple Familial Births : Relation of Births

Children Fathered :
Male Children # Known Additional Live Births
Female Children : 1 Total # of Live Births :
Proven Fertility by IVF

Educational History I

Degree Earned --�O<:cupation

Donor: 10 PhD Insurance broker

Mother: 2 Diploma Housewife

Father: 4 College Retired

Highest Degree Earned :PhD Specify : Management

Future Occupation Goals : I am aiming to become an independant principal insurance broker.

Subjects Enjoyed Most Subjects Enjoyed Least

Math.................................x Math................................. .
Natural Science............... N;,tural Science ...............
Social Science ................ . Social Science................ .
Arts................................... Arts ..................................X
Communication................ Communication................
Languages........................ Languages........................
Computers...................... Computers......................
Other ............................... .. Other .................................

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I Donor ID : 3270

Skills and Abilities

Math .................................... High Specify: I was a math Professor.

Mechanical .......................... Below-Average Specify: I consider myself with poor mechanical skills
Athletic................................ Above-Average Specify: I exercise regularly.
Musical (Instrumental}........ Low Specify:
Musical (Vocal)....................Low Specify:
Language (Written) ............. Above-Average Specify: English and Persian
Language (Verbal) .............. Above-Average Specify : English and Persian
Artistic (Theater) ................. Low Specify: I am not good at arts
Artistic (Drawing/Painting)...Low Specify:

Other Skills : I used to teach mathematics as University Professor.

Use of Leisure Time : Reading.

Preferences

Pets ............................No Opinion Specify:

Muslc..........................Like Specify:
Team Sports..............Like Specify:
Individual Sports .........Like Specify:
School ........................ Like Specify:

Goals/Ambitions/Plans/Feelings
Initiate Own
Help People .................. X Decent Wage Level......... Business/ Own Boss.. X Public Service........ X

Good Job .................... .. Travel ............................... God/Religion.............. Politics ....................

Become Financial
Marriage/Family/Kids .... lndependance ................ . Immediate Family...... Success............... ..

Improve Environment.... X Financial Security............ Social Acceptance ..... X To be Happy..........

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I Donor ID : 3270

Personality Traits

Extrovert........ Moody............ Friendly............ Concerned.......... . Well-adjusted ... X

Introvert ......... . Quiet.............. . Perfectionist..... Kind ..................... X Pessimistic .......
Passive.......... Loud............... Enthusiastic..... Happy................. . Intense............ .
Submissive.... Thoughtful. ..... . Energetic........ . Temperamental.... Caring.............. X
Easy-Going... . Humorous....... Adventurous ..... Intelligent............. X Egotistic........... .
Out-Going..... Creative......... .

Anatomical Features

Face Shape: Nose Shape: Ear Set: Ear Lobes:

Eye Set: Eye Shape: Lips Shape: Body Shape:

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I Donor ID : 3270
I
Donor Motivation

This Donor Would: Donor's Motivation:

Participate Without Reimbursement...Yes
Participate Without Anonymity........... Yes
• Meet With Recipient Couple .............. Yes
• Meet With Donor Offspring................ Yes
Family Infertility Experience.................
Genetic Donation for Procreation .........
Finacial Reward...................................
Assist Anonymous Infertile Couples.... X
Other Motivation :3270 is an Open ID (Identity Disclosure)
donor.

• Note: Present legal statutes & standards prohibit donor/recipient disclosure

Medical History

Allergies.......................... .. Epilepsy ................ . Muscular Dystrophy .. . Stroke.....................................

Color Blindness.............. ..
Deafness..........................
Blindness ........................ ..
Undescended Testicles .. ..
Diabetes .......................... .
Juvenile Arthritis...............
Hemophilia....................... .
Cataracts..........................
Cancer (Leukemia, etc) .. ..
Cystic Fibrosis................ ..
Eczema............................ .
Anti-CMV Reactive (lgG)... X Tay Sachs ............ ..
Migraine.................
Glaucoma..............
Goiter .................... .
Gout. ......................
Hermaphroditism ....
Hernia (Inguinal)....
Hypertension.........
Club Foot...............
Dyslexia.................
Emphysema...........
Jaundice.............. ..
Myasthenia Gravis .... .
Parkinson's............... .
Psoriasis....................
Ulcers .........................
Varicose Veins.......... .
Cirrhosis .....................
Cryptorchidism ...........
Mental Illness.............
Kidney Disease..........
Lymphedema ............ .
Drug Use....................
Sickle Cell Anemia.....
Heart Attacks ..........................
Congenital Heart Problem...... .
Cleft Palate or Up...................
Retinoblastoma.......................
Alcoholism ..............................
Emotional Disturbance...........
Mental Retardation.................
Blood Disorder (Anemia,etc.)..
Convulsive Disorders..............
Dislocated Hip (Congenital)....
Other Physical Anomalies ......
Thalessemia..........................

Comments : No significant conditions noted. Parents and grand parents are healthy.

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