S – LG 6020, Potchefstroom
Generate PDF| Availability status: | Available in Johannesburg and Pretoria |
| Race: | Coloured/ Mixed Race |
| Age: | 21 |
| Hair colour: | Brown |
| Eye colour: | Brown |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.65m. 80kg. |
| Face shape: | Triangular |
| Other personal information: | South African nationality. Candidate aspires to be able to be an educator. She is a student. Non-smoker. Reason for donating: I want to be able to give the gift of a having a family to couples or individuals who cannot conceive on their own. |
| Reproduction history: | No children and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | I am a devoted Christian, and my faith is integral to my identity. It serves as my moral compass, my source of strength, and the foundation for how I interact with others and navigate life's challenges. |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Potchefstroom |
| In which province do you live? | North West |
| Nationality | South African |
| Where were you born? | Klerksdorp, North West |
| What language(s) do you speak? | English Afrikaans |
| Year of birth | 2004 |
| Age | 21 |
| Star sign | Taurus |
| 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? | I want to be able to give the gift of a having a family to couples or individuals who cannot conceive on their own. |
| How do you best describe yourself? | I am defined by my close-knit relationships, with unwavering loyalty to those for whom I care. My faith is also a core part of my life guiding my values and morals. |
| Relationship status | Serious relationship |
| Have you donated eggs before? | No |
Physical profile
| Race | Coloured/ Mixed Race |
| Skin complexion | Brown |
| Face shape | Triangular |
| Nose shape defined by Wikipedia | Snub |
| Eye shape | Round |
| Height in metres | 1.65 |
| Weight in kilograms | 80 |
| What is your usual or ideal weight? | 85 |
| Build and body shape | My proportions are a smaller upper body with a fuller, curvier lower body. |
| Which body part is most sensitive to weight gain or loss? | The Hips, thighs and buttocks gains more weight. |
| Eye colour | Brown |
| Natural hair colour | Brown |
| Hair colour as a child | Black |
| Hair type | Curly |
| Hair texture | medium |
| Description of hands and fingers | Long slender fingers and no scars |
| Cup size | 32B |
| Shoe size | 4 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | I dont think i resemble any celebrity |
| How many siblings do you have? | 2 |
| Sibling 1 Hair Colour | Black |
| Sibling 1 Eye Colour | Brown |
| Sibling 1 Build | Slim and tall |
| Sibling 2 Hair Colour | Black |
| Sibling 2 Eye Colour | Brown |
| Sibling 2 Build | Chubby and short |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 0 |
| Fertility issues | None |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Moderate |
| Any current diseases? | No |
| Current health status lifestyle and/ or current diseases | Healthy |
| Smoker | Ex-smoker |
| 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. | 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? | None |
| 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? | Daily |
| In which exercises or sports do you partake now? | None |
| Have you excelled in any sports? | yes |
| What sports did you play at school? | Hockey |
Professional and academic information
| Occupation | Studying. |
| What is your ideal career/ occupation? | Being an Educator |
| What are you doing to get to your desired profession in life? | I am currently studying doing my thrird year. |
| Do you have a matric and university exemption? | Matric and Exemption |
| Subjects and grades or marks at school | English 56% Afrikaans 79% Math Literature 42% Life Orientation 61% Geography 49% History 67% Tourism 65% |
| What is the name of any course / degree completed? | Bachelor of Education in Senior Phase and Further Education And Training Phase Teaching With History Education and Life Orientation |
| Planned studies | Currently studying. |
| In what aspects do you have a keen interest? | I have a keen interest in learning makeup and beauty |
| What type of books do you like to read? | fiction |
| Would you prefer to read the book or watch the movie? | Watch the Movie |
| Do you know if your IQ was ever tested and the score please? | No |
Behavioural traits
| What is most important in life to you? | My grandmother. |
| If you had unlimited resources and could save one thing on earth what would it be? | I would save humanity's innate sense of shared compassion, for it is the essential force that unlocks our potential to heal, unite, and preserve all else worth saving on Earth. |
| What are your views on religion and spirituality, and practiced religion? | I am a devoted Christian, and my faith is integral to my identity. It serves as my moral compass, my source of strength, and the foundation for how I interact with others and navigate life's challenges. |
| Childhood religion? | Christianity |
| Any specific achievements or aspects of recognition in your family | Being the first in my family to attend a tertiary institution university is a significant achievement and a powerful aspect of recognition both for me and my family. |
| Interests and hobbies | My main interests right now are learning makeup artistry and improving my swimming technique. For fun, my favorite hobby is socializing I love hosting friends at my place for relaxing. |
| What is your preferred holiday? | Beach |
| If you were offered an all-inclusive holiday, what would it be? | For the perfect all-inclusive escape,I would head straight to the Maldives. I envision a trip filled with snorkeling in crystal-clear seas, dining at incredible beachfront restaurants, and truly connecting with the unique traditions and way of life there." |
| Which interesting places have you visited? | The Big hole in Kimberly Nothern Cape |
| What are your feelings on animal welfare? | I may not have pets of my own but I believe animals deserve to be treated with love and kindness and live free from suffering. |
| Strength and weaknesses | Strengths - I am able to adapt to change. I have good communication skills Weaknesses - I am overly critical of my own work |
| What do others generally think of you? | Others generally think I am bubbly |
| Favourite flower | Roses |
| What is your favourite meal? | Spaghetti and mice |
| What is your favourite movie? | Why did we get married |
| What is your favourite book? | How did we get here |
| Who is your favourite actor? | Kevin Hart |
| Who is your favourite actress? | Gabrielle Union |
| What is your favourite colour? | Navy Blue |
| What is your favourite colour lipstick? | Red |
| What is your favourite perfume? | Rare Pearls |
| Who is your favourite person? | My grandmother |
| 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? | Bit of Both - depending on Situation |
| Do you prefer indoors or outdoors? | Depending on the Situation |
| Which weather do you prefer? | hot |
| Are you more creative or analytical? | analytical |
Family information of genetic parents
| Nationality for mother and father | Both South African |
| Country of origin and ancestry for mother and father | Mom - South Africa Dad - South Africa |
| Language spoken for mother and father | Afrikaans and English |
| Professions for mother and father | Mom - unemployed Dad - unknown |
| Achievements on an academic level for mother and father | Mom - matric Dad - unknown |
| Race for mother and father | Both coloured |
| Natural hair colour for mother and father | Mom - black Dad - unknown |
| Eye colour for mother and father | Mom - brown Dad - unknown |
| Height for mother and father | Mom- not exactly sure Dad - unknown |
| Mother and father build | Mom - short and Chubby Dad - unknown |
| Any specific defining traits for both parents | I have the same shape of face and nose as my mom. |
| Are your parents still alive? | Only my mother |
| If deceased, cause of death | Dad - unsure |
| Age (if living, or age deceased) | Mom - 40 Dad - unknown |
| Health status | Mom - HIV positive |
| Please indicate if any twins in your family | No |
| Any family members who have had cancer including aunts or uncles? | Yes |
| Please provide details about cancer in your family | Both of my maternal aunts has had cancer. One survived breast cancer and one died of cervical cancer. |
| 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? | Only MGM |
| If deceased, state cause of death | Not applicable |
| Current age or age of death | MGM - 70 PGM - unknown |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Not applicable |
| Current age or age at time of death | MGF - 73 PGF - unsure |
| Grandfathers' eye colour (maternal and paternal) | MGF - light brown PGF - unknown |
| Grandmothers' eye colour (maternal and paternal) | MGM - brown PGM - unknown |
| Grandfathers' hair colour (maternal and paternal) | MGF - black PGF - unknown |
| Grandmothers' hair colour (maternal and paternal) | MGM - golden brown PGM - unknown |
| Health of grandmothers (maternal and paternal) | MGM - hypertension PGM - unknown |
| Health of grandfathers (maternal and paternal) | Nothing else to add |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | MGM - coloured MGF - Indian |
| Any genetic health or psychological concerns worth noting regarding your grandparents | MGM - hypertension |
| Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | None |
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 | Johannesburg |
| Towns available in which to donate - travel costs will be covered | 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 | 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 |
