S – DL 4983, Rustenburg
Generate PDF| Availability status: | Available in Johannesburg and Pretoria |
| Race: | Black/African |
| Age: | 27 |
| Hair colour: | Brown |
| Eye colour: | Brown |
| Has children: | Yes |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 2m., 74kg, slim build |
| Face shape: | Oval |
| Other personal information: | South African nationality. blood group AB+. Candidate is a considerate, hardworking and ambitious person. Non-smoker. Message to recipient: I want to give a family warmly and eternal happiness. |
| Reproduction history: | One child and no donations yet |
| What are your views on religion and spirituality, and practiced religion? |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Rustenburg |
| In which province do you live? | North West |
| Nationality | South African |
| Where were you born? | Mabeskraal |
| What language(s) do you speak? | English and Setswana |
| Year of birth | 1997 |
| Age | 27 |
| Star sign | Aries |
| 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? | To give a family warmly and eternal happiness |
| How do you best describe yourself? | I am considerate, hardworking and ambition person |
| Relationship status | Single |
| Have you donated eggs before? | No |
| If yes, please advise whether you donated through an egg donor agency? | -1 |
| Were your eggs confirmed good to donate again? | -1 |
Physical profile
| Race | Black/African |
| Skin complexion | Brown |
| Face shape | Oval |
| Nose shape defined by Wikipedia | African - wide nostrilled nose |
| Eye shape | Almond |
| Height in metres | 2 |
| Weight in kilograms | 74 |
| What is your usual or ideal weight? | 75 |
| Build and body shape | Slim |
| Which body part is most sensitive to weight gain or loss? | Face and jawline |
| Eye colour | Brown |
| Natural hair colour | Brown |
| Hair colour as a child | Brown |
| Hair type | Straight |
| Hair texture | Thick |
| Description of hands and fingers | Short and thick |
| Cup size | 34D |
| Shoe size | 4 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Gabrielle Union |
| How many siblings do you have? | 1 |
| Sibling 1 Hair Colour | Black |
| Sibling 1 Eye Colour | Brown |
| Sibling 1 Build | Height: 4m, Weight: 50kg |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 1 |
| Fertility issues | No |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Healthy |
| Any current diseases? | No |
| Please list | N/A |
| Smoker | never smoked |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Never |
| How would you rate your sight? | 10 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | No |
| Have you suffered from/ currently have any health concerns/ diseases including but not limited to diabetes, cholesterol, blood pressure, thyroid, haemophilia, blood clotting, paralysis, porphyria? | No |
| Have you had any cancer? | No |
| Have you had any heart problems? | No |
| Please indicate if you have any allergies | No |
| Any mental or psychological diseases/ learning disorders including but not limited to genetic depression, bi polar, psychiatric illness etc. Please elaborate and indicate if genetic. | No |
| Any physical handicaps or deformaties? If yes, please state. | No |
| Do you have any genetic diseases or are a carrier of any genetic concerns including but not limited to thalassemia, cystic fibrosis and sickle cell? | No |
| History of asthma | No |
| Indicate any medication you are taking and reason for it. | Not indicated |
| Have you ever been addicted to any substances? | No |
| Have you partaken in any recreational drugs had tattoos or piercings in the last six months? Please explain. | No |
| Details of any operations? | Not indicated |
| Are there any health issues of which you are aware that may be of concern for you to become an egg donor? If yes, please state. | No |
| Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | 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? | Athletes |
Professional and academic information
| Occupation | Not indicated |
| What is your ideal career/ occupation? | Engineering |
| What are you doing to get to your desired profession in life? | Running a small business to save money for my academics. |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | Mathematics-5 Physics - 4 Life Sciences - 5 Life Orientation - 7 |
| What is the name of any course / degree completed? | Not indicated |
| Planned studies | Airspace engineering |
| In what aspects do you have a keen interest? | Engineering |
| What type of books do you like to read? | non-fiction |
| Would you prefer to read the book or watch the movie? | Read the Book |
Behavioural traits
| What is most important in life to you? | My son's wellbeing |
| If you had unlimited resources and could save one thing on earth what would it be? | Climate change |
| Childhood religion? | Christianity |
| Any specific achievements or aspects of recognition in your family | Soft hearted |
| Interests and hobbies | Reading and cooking |
| What is your preferred holiday? | international |
| If you were offered an all-inclusive holiday, what would it be? | Christmas in Paris |
| Which interesting places have you visited? | Cape Town |
| What are your feelings on animal welfare? | They should be given care they need and protection |
| Strength and weaknesses | Strength - I am punctual and self-motivated, weakness - I cannot say no to anyone who needs my help. |
| What do others generally think of you? | Kind |
| Favourite flower | Jasmine |
| What is your favourite meal? | Samp and oxtail |
| What is your favourite book? | You got anything stronger? |
| Who is your favourite actor? | Tyler Perry |
| Who is your favourite actress? | Gabrielle Union |
| What is your favourite colour? | White |
| What is your favourite colour lipstick? | Purple |
| What is your favourite perfume? | Dior J'Adore |
| Who is your favourite person? | My son |
| Are you more introverted or extroverted? | Introverted |
| Would you prefer to go out with friends or stay in with a loved one or book? | Stay in with a loved one or book |
| Are you musical or played any musical instruments? | No |
| Are you more cultural or more adventurous? | More Adventurous |
| Which weather do you prefer? | rain |
| Are you more creative or analytical? | creative |
Family information of genetic parents
| Nationality for mother and father | Both African |
| Country of origin and ancestry for mother and father | Mom - Zambian, dad - South African |
| Language spoken for mother and father | Both Setswana |
| Professions for mother and father | Mom - teacher, dad - business |
| Achievements on an academic level for mother and father | Not indicated |
| Race for mother and father | Black |
| Natural hair colour for mother and father | Both black |
| Eye colour for mother and father | Both black |
| Height for mother and father | Not indicated |
| Mother and father build | Both tall |
| Any specific defining traits for both parents | Not indicated |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | Mom - 48, dad - 54 |
| Health status | Healthy |
| Please indicate if any twins in your family | No |
| Any family members who have had cancer including aunts or uncles? | None |
| 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 | 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 | None |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | No to Both |
| If deceased, state cause of death | Old age |
| Current age or age of death | Not indicated |
| Grandfathers still alive? | Only MGF |
| If deceased, state cause of death | Not indicated |
| Current age or age at time of death | Not indicated |
| Grandfathers' eye colour (maternal and paternal) | Not indicated |
| Grandmothers' eye colour (maternal and paternal) | Not indicated |
| Grandfathers' hair colour (maternal and paternal) | Not indicated |
| Grandmothers' hair colour (maternal and paternal) | Not indicated |
| Health of grandmothers (maternal and paternal) | Not indicated |
| Health of grandfathers (maternal and paternal) | Not indicated |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Not indicated |
| Any genetic health or psychological concerns worth noting regarding your grandparents | Not indicated |
| Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | Not indicated |
Egg donation stipulations
| Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | No |
| Preferred town to donate | Johannesburg |
| Towns available in which to donate - travel costs will be covered | Cape Town, Johannesburg, 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 |
