S – CV 4933, Bloemfontein
Generate PDF| Availability status: | Available now in Bloemfontein |
| Race: | Coloured/ Mixed Race |
| Age: | 24 |
| Hair colour: | Brown |
| Eye colour: | Brown |
| Has children: | Yes |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.48m., 55kg., athletic build. |
| Face shape: | Round |
| Other personal information: | Christian, South African nationality. Candidate is self employed. She enjoys calling and watching movies. Non-smoker. Reason for donating: Knowing that I can help a recipient makes me feel happy and at ease and all I want is to make that possible. |
| Reproduction history: | One daughter and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | Christian |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Bloemfontein |
| In which province do you live? | Free State |
| Nationality | South African |
| Where were you born? | Bloemfontein |
| What language(s) do you speak? | English Afrikaans Sotho Xhosa |
| Year of birth | 2000 |
| Age | 24 |
| Star sign | Libra |
| Blood group (if known) | Unknown |
| Why do you want to be an egg donor and if you had a message for your recipient what would it be? | Knowing that I can help a recipient makes me feel happy and at ease and all I want is to make that possible. |
| How do you best describe yourself? | I'm a young enthusiastic hardworking dedicated person loving caring and outgoing love to meet new people and learn new things I'm an adrenaline junky love to cook and see people around me happy. |
| Relationship status | Single |
| Have you donated eggs before? | No |
| If yes, please advise whether you donated through an egg donor agency? | No |
| If yes, with which clinic did you donate? | Haven't donated |
| Were your eggs confirmed good to donate again? | -1 |
Physical profile
| Race | Coloured/ Mixed Race |
| Skin complexion | Fair |
| Face shape | Round |
| Nose shape defined by Wikipedia | Greek - perfect straight nose |
| Eye shape | Almond |
| Height in metres | 1.48 |
| Weight in kilograms | 55 |
| What is your usual or ideal weight? | 60 |
| Build and body shape | Athletic |
| Which body part is most sensitive to weight gain or loss? | None |
| Eye colour | Brown |
| Natural hair colour | Brown |
| Hair colour as a child | Brown |
| Hair type | Curly |
| Hair texture | medium |
| Description of hands and fingers | I have small gentle hands |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Dimples and a beauty spot on my left cheek bone |
| Cup size | 34DD |
| Shoe size | 3 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Amanda Du pond |
| How many siblings do you have? | 4 |
| Sibling 1 Hair Colour | Brown |
| Sibling 1 Eye Colour | Brown |
| Sibling 1 Build | Height: 151m, Weight: 67kg |
| Sibling 2 Hair Colour | Black |
| Sibling 2 Eye Colour | Brown |
| Sibling 2 Build | Height: 160m, Weight: 70kg |
| Sibling 3 Hair Colour | Brown |
| Sibling 3 Eye Colour | Brown |
| Sibling 3 Build | Height: 170m, Weight: 69kg |
| Sibling 4 Hair Colour | Brown |
| Sibling 4 Eye Colour | Brown |
| Sibling 4 Build | Height: 166m, Weight: 62kg |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 1 |
| Child 1 Date of Birth | 01/01/1970 |
| Fertility issues | None |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Healthy |
| Please list | None |
| Smoker | Ex-smoker |
| Alcohol consumption per week. | 1_drink |
| Do you wear glasses? | Since Early Adulthood |
| How would you rate your sight? | 5 |
| 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. | No |
| Have you ever been addicted to any substances? | No |
| Please list | Nose and ear piercing and have a small tattoo on my left lower arm |
| Details of any operations? | No |
| How often do you excercise? | When I Get A Chance |
| In which exercises or sports do you partake now? | Rugby |
| Have you excelled in any sports? | Yes |
| What sports did you play at school? | Rugby soccer and hockey |
Professional and academic information
| Occupation | Self employed |
| What is your ideal career/ occupation? | Fire fighter |
| What are you doing to get to your desired profession in life? | Taking courses |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | Consumer studies 77%, History 60%, Geography 55%, Mathematics 70%, Life Orientation 69%, English 80%, Afrikaans 74% |
| What is the name of any course / degree completed? | Hospitality |
| Planned studies | No |
| In what aspects do you have a keen interest? | Culinary |
| What type of books do you like to read? | fiction |
| Would you prefer to read the book or watch the movie? | Both |
Behavioural traits
| What is most important in life to you? | My daughter is my life and she motivates me everyday to do better |
| If you had unlimited resources and could save one thing on earth what would it be? | To do things better if I could and help my parents |
| What are your views on religion and spirituality, and practiced religion? | Christian |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | No |
| Interests and hobbies | Love to cook and watch movies also go on little picnic dates with my daughter |
| If you were offered an all-inclusive holiday, what would it be? | Lodge in the wild |
| Which interesting places have you visited? | Durban and Cape town |
| What are your feelings on animal welfare? | Love to help |
| Strength and weaknesses | I turn my weakness into my strengths that way I know where to improve and I make the best of it |
| What do others generally think of you? | A kindhearted and loving bubbly personality |
| Favourite flower | Lilly's |
| What is your favourite meal? | Comfort food |
| What is your favourite movie? | Me before you |
| What is your favourite book? | Comics |
| Who is your favourite actor? | Sylvester Stallone |
| Who is your favourite actress? | Angelina Jolie |
| What is your favourite colour? | Blue |
| What is your favourite colour lipstick? | Nude |
| What is your favourite perfume? | Oh so heavenly selection |
| Who is your favourite person? | My daughter |
| 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? | Musical |
| Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
| Do you prefer indoors or outdoors? | Depending on the Situation |
| Which weather do you prefer? | |
| Are you more creative or analytical? | creative |
Family information of genetic parents
| Nationality for mother and father | South African |
| Country of origin and ancestry for mother and father | South African |
| Language spoken for mother and father | Afrikaans and English |
| Professions for mother and father | Contractor and Guardian |
| Achievements on an academic level for mother and father | Good students |
| Race for mother and father | Mixed race |
| Natural hair colour for mother and father | Brown |
| Eye colour for mother and father | Brown |
| Height for mother and father | 149 and 168 |
| Mother and father build | Curvy and Athletic |
| Any specific defining traits for both parents | Outgoing |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | 55 and 56 |
| Health status | Excellent |
| Any fertility problems in your family | No |
| 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? | No |
| 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? | No |
| 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 | No |
| Any physical deformaties or handicaps? If yes, please state | No |
| History of asthma | Only my mother |
| 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 | Cancer and old age |
| Current age or age of death | 55 92 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Natural |
| Current age or age at time of death | 77 and 65 |
| Grandfathers' eye colour (maternal and paternal) | Blue and brown |
| Grandmothers' eye colour (maternal and paternal) | Brown |
| Grandfathers' hair colour (maternal and paternal) | Black and brown |
| Grandmothers' hair colour (maternal and paternal) | Brown |
| Health of grandmothers (maternal and paternal) | Good |
| Health of grandfathers (maternal and paternal) | Good |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Mixed |
| Any genetic health or psychological concerns worth noting regarding your grandparents | No |
| Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | No |
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 | bloemfontein |
| Towns available in which to donate - travel costs will be covered | Cape Town, Stellenbosch, Johannesburg, Pretoria, Port Elizabeth, Durban, Bloemfontein |
Confirmation
| I have only made myself available as an egg donor with baby2mom. | Yes |
| 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 |
