A – CH 3409, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | White |
Age: | 32 |
Hair colour: | Brown |
Eye colour: | Hazel |
Has children: | Yes |
Proven donor | Yes |
Post matric studies: | No |
Other physical information: | 1.65m., 53kg., slim, olive skin tone. |
Face shape: | Oval |
Other personal information: | South African nationality, Christian, AB- blood group. Candidate works at an accounting firm. She is a very peaceful person. Non-smoker. Reason for donating: I realy want to bring joy to families around the world. |
Reproduction history: | Two sons and proven donor. |
What are your views on religion and spirituality, and practiced religion? | Everyone has to believe |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Johannesburg, South Africa |
Nationality | South African |
Where were you born? | Johannesburg |
What language(s) do you speak? | Afrikaans and English |
Year of birth | 1992 |
Age | 32 |
Star sign | Scorpio |
Blood group (if known) | AB- |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I want to bring joy to other families. |
How do you best describe yourself? | Very patient and loving, I have so much love to give. |
Relationship status | Serious relationship |
Physical profile
Race | White/ Caucasian |
Skin complexion | Olive |
Face shape | Oval |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Almond |
Height in metres | 1.65 |
Weight in kilograms | 53 |
Build and body shape | Tiny |
Which body part is most sensitive to weight gain or loss? | Stomach |
Eye colour | Hazel |
Natural hair colour | Brown |
Hair colour as a child | Blonde |
Hair type | Wavy |
Description of hands and fingers | Nice |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast size B cup, size 4 shoe |
Cup size | Katy Perry |
Are you left handed or right handed? | Right handed |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | Yes |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Any current diseases? | None |
Smoker | never smoked |
Do you wear glasses? | Since Early Adulthood |
Have you had any cancer? | No |
Have you had any heart problems? | No |
History of asthma | No |
Indicate any medication you are taking and reason for it. | None |
Have you ever been addicted to any substances? | No |
Details of any operations? | No |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Jogging |
Have you excelled in any sports? | No |
What sports did you play at school? | Netball/athletic |
Professional and academic information
Occupation | Accountant intern |
What is your ideal career/ occupation? | Accounting manager |
What are you doing to get to your desired profession in life? | Im working as a accounting intern |
Do you have a matric and university exemption? | No matric |
In what aspects do you have a keen interest? | Nature |
What type of books do you like to read? | |
Would you prefer to read the book or watch the movie? | Read the Book |
Behavioural traits
What is most important in life to you? | God and my children |
If you had unlimited resources and could save one thing on earth what would it be? | My children |
What are your views on religion and spirituality, and practiced religion? | Everyone has to believe |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | Hiking |
If you were offered an all-inclusive holiday, what would it be? | Being on a island in nature |
Which interesting places have you visited? | Cape town |
What are your feelings on animal welfare? | That topic makes me sad |
Strength and weaknesses | Strength - patient, weakness - speak my mind |
What do others generally think of you? | Fun and loving |
Favourite flower | Lilly |
What is your favourite meal? | Pasta |
What is your favourite movie? | The shack |
Who is your favourite actor? | Jhonny depp |
Who is your favourite actress? | Megan Fox |
What is your favourite colour? | Green |
What is your favourite colour lipstick? | I don’t wear lipstick |
What is your favourite perfume? | Panache memoirs |
Who is your favourite person? | My children |
Are you more introverted or extroverted? | Extroverted |
Would you prefer to go out with friends or stay in with a loved one or book? | Depends on the situation |
Are you musical or played any musical instruments? | None |
Are you more cultural or more adventurous? | More Adventurous |
Do you prefer indoors or outdoors? | Outdoors |
Which weather do you prefer? |
Family information of genetic parents
Nationality for mother and father | Both South African |
Country of origin and ancestry for mother and father | Both South Africa |
Language spoken for mother and father | Afrikaans and English |
Race for mother and father | Both white |
Natural hair colour for mother and father | Brown |
Eye colour for mother and father | Green |
Are your parents still alive? | No To Both |
If deceased, cause of death | Mom - epilepsy, dad - cancer |
Age (if living, or age deceased) | Mom - 52, dad - 63 |
Please indicate if any twins in your family | None |
Any family members who have had cancer including aunts or uncles? | Dad |
Any fertility problems in your family | None |
In your family, has anyone suffered from/ currently have any health concerns/ diseases including but not limited to diabetes, cholesterol, blood pressure, thyroid, haemophilia, blood clotting, paralysis, porphyria, heart problems? | None |
In your family, does anyone have any genetic diseases or are a carrier of any genetic concerns including but not limited to thalassemia, cystic fibrosis, sickle cell, tay sachs? | None |
Any mental or psychological disease or learning disability or learning disorders including genetic depression, bi polar, psychiatric illness in siblings or family? If yes, please state | None |
Any physical deformaties or handicaps? If yes, please state | No |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | None |
Any other comments regaring any health aspects in your family | None |
Alcoholism / substance abuse | Yes to Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Not applicable |
Current age or age of death | Unknown |
If deceased, state cause of death | Unknown |
Current age or age at time of death | Unknown |
Grandfathers' eye colour (maternal and paternal) | Unknown |
Grandmothers' eye colour (maternal and paternal) | Unknown |
Grandfathers' hair colour (maternal and paternal) | Unknown |
Grandmothers' hair colour (maternal and paternal) | Unknown |
Health of grandmothers (maternal and paternal) | Unknown |
Health of grandfathers (maternal and paternal) | Unknown |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All white |
Any genetic health or psychological concerns worth noting regarding your grandparents | None known |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | None indicated |
Egg donation stipulations
Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | None |
Preferred town to donate | Pretoria |
Towns available in which to donate - travel costs will be covered | Pretoria |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
Please advise any specific donation criteria other than those mentioned | None |
All information provided is correct and pictures are all of me. I agree to keep baby2mom updated with the donor programe (screening, blood tests, scans, egg retrieval. I will keep baby2mom updated wrt my availability and wrt egg donation pregnancies achieved. I consent to participate in the baby2mom egg donor program and participate as required and understand the concept of anonymous egg donation and claim no further rights over any child(ren) conceived of egg donation. I agree that I will be prescribed medication to potentially synchronise my menstrual cycle with that of the recipients and will be given hormones in a controlled environment by professional fertility specialists to stimulate donor egg developement. I agree to find more information pertaining to egg donation on the baby2mom egg donor site or ask if I have any further questions about being an egg donor. I agree to participate as required as people often travel from international destinations to participate in a South African egg donation program and have incurred considerable financial and emotional costs | Yes |