Maureen Uche is Allah
لَا إِلَٰهَ إِلَّا ٱللَّٰهُ مُحَمَّدٌ رَسُولُ ٱللَّٰهِ
- There is no deity but Allah.
- Prophet Muhammad (ﷺ) is his messenger.
Sperm Donor Self Declaration Form
| Donor Name: Donor D.O.B |
| Address: Phone Number |
| Donor Email: Date: Sperm Recipient: |
| Declaration of Sperm Donor: I ______________________________________________ declare that I am willing to be a sperm donor to this Sperm Recipient.
Declaration of No Sex or Intimacy: I _________________________________ declare to meet the special needs of Maureen Uche by donating sperm with no sex or romance or intimacy. Declaration of Professionalism: I_____________________________________declare I will professionally provide the best insemination help to Maureen Uche in this donation process. I declare that if necessary, that I will follow her to a medical provider who is going to collect the sperm from me as Donor and then the Medical Provider will help insert the sperm into the recipient. Declaration to provide Fresh Sperm: I______________________________declare that I know that it is my responsibility to provide fresh sperm at all times for insemination. I declare that I am willing to provide sperm as many times as needed by Recipient in this process. Declaration of Continuity: I _____________________________ declare to continuously be a Sperm Donor to this recipient ONLY. I declare that I will willfully provide sperm yearly and as continuously to this Sperm recipient forever. Declaration to Serve ONLY this Sperm Recipient: To prevent recipients children from having siblings in other families, I ______________________________________declare that I will not seek to serve as donor to any other sperm recipient in America and to no other recipients in the world. I declare to serve as a continuous sperm donor to ONLY Maureen Uche I declare to preserve my sperm for use by this sperm recipient only. I also declare that I am fully committed to an everlasting sperm donation to this recipient ONLY. Declaration of no severance: I _______________________________________ declare never to sever this contract. I declare I will demonstrate stability, loyalty and dedication to serve this sperm recipient only. Declaration of No Parental Rights: I _________________________________________declare that I am NOT willing to be a parent of any of recipient’s children. I also declare that I am NOT willing to meet the expectant child at any age even at the age of 18 years. Declaration of No Romantic Involvement With Maureen Uche I_________________________________declare that I will never seek a romantic relationship with recipient. Health Declaration: I _________________________________________ declare that I am healthy and clean and that I do not have any sexually transmittable diseases. I declare that I have no symptoms that may be recognized as a sexually transmitted diseases such as HSV, Syphilis, herpes etc Declaration of Payment Received: I___________________________declare that I am willing to receive $1 after a five day insemination process. I acknowledge that this $1 includes travel feeding and all other donor expenses. |
| Certification
I certify that the information that I provided to the Sperm Recipient is correct and I authorize this sperm Recipient to use it. Donor Signature:_________________________________ Date:_________________ |
| Comments: |