S – SM 5842, Newcastle
Generate PDF| Availability status: | Available now in Durban and Umhlanga |
| Race: | Black/African |
| Age: | 33 |
| Hair colour: | Black |
| Eye colour: | Hazel |
| Has children: | Yes |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.50 meters 65 kg |
| Face shape: | Round |
| Other personal information: | South African nationality. O- blood group. Candidate aspires to study law. Non-smoker. Reason for donating: I would like to give other woman the gift of being a mother. |
| Reproduction history: | Three beautiful healthy daughters and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | I believe in God and go to church every Sunday. |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Newcastle |
| In which province do you live? | KwaZulu-Natal |
| Nationality | South African |
| Where were you born? | Newcastle |
| What language(s) do you speak? | English |
| Year of birth | 1991 |
| Age | 33 |
| Star sign | Leo |
| 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 would like to give other woman the gift of being a mother. |
| How do you best describe yourself? | I'm an outgoing person, I enjoy the outdoors, I'm kind and loving good sense of humor, I'm intelligent. |
| Relationship status | Single |
| Have you donated eggs before? | No |
Physical profile
| Race | Black/African |
| Skin complexion | Fair |
| Face shape | Round |
| Nose shape defined by Wikipedia | Roman - Convex undulating nose |
| Eye shape | Round |
| Height in metres | 1.50 |
| Weight in kilograms | 65 |
| What is your usual or ideal weight? | 65 |
| Build and body shape | Medium size |
| Which body part is most sensitive to weight gain or loss? | Legs |
| Eye colour | Hazel |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Afro |
| Hair texture | medium |
| Description of hands and fingers | No visible scars, short fingers and short nails |
| Cup size | 34B |
| Shoe size | 5 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Halle Berry |
| How many siblings do you have? | 4 |
| Sibling 1 Hair Colour | Black |
| Sibling 1 Eye Colour | Black |
| Sibling 1 Build | Short medium |
| Sibling 2 Hair Colour | Black |
| Sibling 2 Eye Colour | Hazel |
| Sibling 2 Build | Short and slender |
| Sibling 3 Hair Colour | Black |
| Sibling 3 Eye Colour | Hazel |
| Sibling 3 Build | Tall and buff |
| Sibling 4 Hair Colour | Black |
| Sibling 4 Eye Colour | Hazel |
| Sibling 4 Build | Tall and buff |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 3 |
| Child 1 Date of Birth | 21/01/2010 |
| Child 2 Date of Birth | 09/08/2012 |
| Child 3 Date of Birth | 04/01/2019 |
| Fertility issues | None |
Health of egg donor
| Are you a twin? | Yes |
| Are you adopted? | No |
| Would you consider your lifestyle | Healthy |
| Any current diseases? | No |
| Current health status lifestyle and/ or current diseases | Healthy |
| Please list | Eczema |
| Smoker | never smoked |
| Alcohol consumption per week. | 1_drink |
| Do you wear glasses? | Since a teen |
| How would you rate your sight? | 5 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Yes |
| 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. | None |
| 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? | C SECTION |
| 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? | Running |
| Have you excelled in any sports? | Hockey |
| What sports did you play at school? | Hockey |
Professional and academic information
| Occupation | Unemployed |
| What is your ideal career/ occupation? | Lawyer |
| 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 65% Maths 64% Accounting 78% Business Study 63% Isizulu 79% Life Orientation 80% Economics 56% |
| What is the name of any course / degree completed? | Finance Economics Accounting |
| Planned studies | Law |
| In what aspects do you have a keen interest? | Finance |
| What type of books do you like to read? | fiction |
| Would you prefer to read the book or watch the movie? | Both |
| Do you know if your IQ was ever tested and the score please? | No |
Behavioural traits
| What is most important in life to you? | Family |
| 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? | I believe in God and go to church every Sunday. |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | No |
| Interests and hobbies | Hockey and reading |
| What is your preferred holiday? | Beach |
| If you were offered an all-inclusive holiday, what would it be? | Cape Town |
| Which interesting places have you visited? | Cape Town: Table Mountain and Robin Island |
| What are your feelings on animal welfare? | I love dogs |
| Strength and weaknesses | Strength - cooking Weakness - not good under pressure |
| What do others generally think of you? | Im a loving and smart person. |
| Favourite flower | Rose |
| What is your favourite meal? | Pasta |
| What is your favourite movie? | To all the boys |
| What is your favourite book? | The Sumer I turned pretty |
| Who is your favourite actor? | Vin Diesel |
| Who is your favourite actress? | Angelina Jolie |
| What is your favourite colour? | Red |
| What is your favourite colour lipstick? | Red |
| What is your favourite perfume? | Far Way |
| Who is your favourite person? | Mother |
| 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? | I enjoy listening to music |
| Are you more cultural or more adventurous? | More Adventurous |
| Do you prefer indoors or outdoors? | Depending on the Situation |
| Which weather do you prefer? | hot |
| 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 | Both South Africa |
| Language spoken for mother and father | Both Isizulu |
| Professions for mother and father | Mom - senior admin Dad - teacher |
| Achievements on an academic level for mother and father | Not indicated |
| Race for mother and father | Both black |
| Natural hair colour for mother and father | Both black |
| Eye colour for mother and father | both hazel |
| Height for mother and father | Mom - 1.65m. Dad - 1.78m. |
| Mother and father build | Mom - slim Dad - buff |
| Any specific defining traits for both parents | Mom - dimples |
| Are your parents still alive? | Only my mother |
| If deceased, cause of death | Dad - natural death |
| Age (if living, or age deceased) | Mom - 65 Dad - 47 |
| Health status | Mom - good health |
| Please indicate if any twins in your family | Yes |
| Details of twins | Not indicated |
| Any family members who have had cancer including aunts or uncles? | No |
| 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? | Yes |
| Please provide details of health concerns in your family | Mom - cholesterol and blood pressure |
| 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 | No |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | No to Both |
| If deceased, state cause of death | Natural deaths |
| Current age or age of death | 71 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Natural deaths |
| Current age or age at time of death | MGF - 74 |
| Grandfathers' eye colour (maternal and paternal) | MGF - brown PGF - hazel |
| Grandmothers' eye colour (maternal and paternal) | Both hazel |
| Grandfathers' hair colour (maternal and paternal) | Both black |
| Grandmothers' hair colour (maternal and paternal) | Black |
| Health of grandmothers (maternal and paternal) | Healthy |
| Health of grandfathers (maternal and paternal) | Healthy |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All black |
| 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 | No |
| Preferred town to donate | Cape Town |
| 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 | No |
| 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 |
