S – SN 4707, Durban
Generate PDFAvailability status: | Available now in Durban and Umhlanga |
Race: | Black |
Age: | 20 |
Hair colour: | Black |
Eye colour: | Dark brown |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.6m., 66kg., sized 6 shoe. |
Face shape: | Round |
Other personal information: | South African nationality, Zulu ancestry, O blood type. Candidate is studying to be a social worker. Non-smoker. Reason for donating: I want to be an egg donor because I want to help those people who can’t have babies on their own. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | N/A |
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Category: Active Donor
Additional donor information
Initial information
In which town do you live? | Durban, KwaZulu-Natal |
Nationality | South African |
Where were you born? | Kingsway hospital |
What language(s) do you speak? | IsiZulu |
Year of birth | 2003 |
Age | 20 |
Star sign | Virgo |
Blood group (if known) | O+ |
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 be an egg donor because I want to help those people who can’t have babies on their own. |
How do you best describe yourself? | As a kind,energetic and smart girl |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Fair |
Nose shape defined by Wikipedia | Roman - Convex undulating nose |
Eye shape | Round |
Height in metres | 1.6 |
Weight in kilograms | 66 |
What is your usual or ideal weight? | 60 |
Build and body shape | A bit curvy |
Which body part is most sensitive to weight gain or loss? | None |
Eye colour | Black |
Natural hair colour | Black |
Hair colour as a child | Black |
Hair type | Afro |
Hair texture | medium |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | One dimple, size 6 shoe. |
Cup size | Unknown |
Are you left handed or right handed? | Right handed |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
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? | Never |
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. | N/A |
Have you ever been addicted to any substances? | No |
Details of any operations? | No |
How often do you excercise? | When I Get A Chance |
In which exercises or sports do you partake now? | Running and netball |
Have you excelled in any sports? | Not really |
What sports did you play at school? | Netball |
Professional and academic information
Occupation | Currently a part time student |
What is your ideal career/ occupation? | Social worker |
What are you doing to get to your desired profession in life? | Studying |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | English home language 60%, IsiZulu FAL 79%, Drama 54%, Business Study 49%, Design 48%, LO 60%, Maths Lit 50% |
What is the name of any course / degree completed? | TEFL 120 minutes |
What type of books do you like to read? | Non-fiction |
Would you prefer to read the book or watch the movie? | Watch the Movie |
Behavioural traits
What is most important in life to you? | Peace |
If you had unlimited resources and could save one thing on earth what would it be? | Trees |
What are your views on religion and spirituality, and practiced religion? | N/A |
Childhood religion? | Christian |
Interests and hobbies | Reading |
Which interesting places have you visited? | None |
What is your favourite meal? | Pizza |
What is your favourite movie? | None |
What is your favourite book? | How I made my first million |
What is your favourite colour? | Pink |
What is your favourite colour lipstick? | Red |
What is your favourite perfume? | Far away avon |
Who is your favourite person? | Mom |
Are you more introverted or extroverted? | Introverted |
Would you prefer to go out with friends or stay in with a loved one or book? | Depends on the situation |
Are you more cultural or more adventurous? | More Adventurous |
Which weather do you prefer? |
Family information of genetic parents
Nationality for mother and father | African |
Country of origin and ancestry for mother and father | South Africa |
Language spoken for mother and father | IsiZulu |
Professions for mother and father | Mom - teacher, dad was a clerk but now currently unemployed |
Race for mother and father | Both black |
Natural hair colour for mother and father | Both black |
Eye colour for mother and father | Both black |
Height for mother and father | Unknown |
Mother and father build | Both medium |
Are your parents still alive? | Yes to Both |
Age (if living, or age deceased) | Not indicated |
Any family members who have had cancer including aunts or uncles? | None |
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 |
History of asthma | No To Both |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | No |
Any other comments regaring any health aspects in your family | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Natural death |
Current age or age of death | Both at age 85 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Unknown |
Current age or age at time of death | Unknown, before I was born |
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 | Unknown |
Any genetic health or psychological concerns worth noting regarding your grandparents | Unknown |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | Unknown |
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 | Durban |
Towns available in which to donate - travel costs will be covered | Durban |
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 |