S – TL 6171, Vereeniging
Generate PDF| Availability status: | Available now in Johannesburg and Pretoria |
| Race: | White/ Caucasian |
| Age: | 30 |
| Hair colour: | Brown |
| Eye colour: | Green |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | Height: 1.81 meters Weight: 93 kg |
| Face shape: | Round |
| Other personal information: | South African nationality O+ blood group Candidate is a restaurant manager and aspires to be a personal trainer. She studied business. Non-smoker. Reason for donating I'd love to help and couple have the family they have always wanted. I hope they give their little blessing every ounce of love they can muster. |
| Reproduction history: | No children and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | Non-religious |
Add to donor preference list
Add to donor preference list
Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Vereeniging |
| In which province do you live? | Gauteng |
| Nationality | South African |
| Where were you born? | Alberton |
| What language(s) do you speak? | English Afrikaans Learning Sotho |
| Year of birth | 1995 |
| Age | 30 |
| Star sign | Pisces |
| 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'd love to help and couple have the family they have always wanted. I hope they give their little blessing every ounce of love they can muster. |
| How do you best describe yourself? | I am a kind and friendly person, I always try to see the best in everyone. I am very positive andloving |
| Relationship status | Serious relationship |
| Have you donated eggs before? | No |
Physical profile
| Race | White/ Caucasian |
| Skin complexion | Medium |
| Face shape | Round |
| Nose shape defined by Wikipedia | Greek - perfect straight nose |
| Eye shape | Almond |
| Height in metres | 1.81 |
| Weight in kilograms | 93 |
| What is your usual or ideal weight? | 85 |
| Build and body shape | Curvy, tall |
| Which body part is most sensitive to weight gain or loss? | Tummy |
| Eye colour | Green |
| Natural hair colour | Brown |
| Hair colour as a child | Blonde |
| Hair type | Wavy |
| Hair texture | Fine |
| Description of hands and fingers | Long fingers, strong hands |
| Cup size | D |
| Shoe size | 8 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | None |
| How many siblings do you have? | 3 |
| Sibling 1 Hair Colour | Brown |
| Sibling 1 Eye Colour | Green |
| Sibling 1 Build | Thin average height |
| Sibling 2 Hair Colour | Brown |
| Sibling 2 Eye Colour | Green |
| Sibling 2 Build | Overweight, average height |
| Sibling 3 Hair Colour | Brown |
| Sibling 3 Eye Colour | Green |
| Sibling 3 Build | Tall, curvy |
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 | Healthy |
| Any current diseases? | No |
| Current health status lifestyle and/ or current diseases | Healthy |
| Smoker | never smoked |
| Alcohol consumption per week. | 1_drink |
| Do you wear glasses? | Never |
| How would you rate your sight? | 9 |
| 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 | Yes |
| Please list | Shellfish |
| 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. | Yes |
| Please list | Vegetarian |
| How often do you excercise? | A few times a week |
| In which exercises or sports do you partake now? | Full body exercise treadmill |
| Have you excelled in any sports? | Netball |
| What sports did you play at school? | Netball hockey |
Professional and academic information
| Occupation | Restaurant manager |
| What is your ideal career/ occupation? | Personal trainer |
| What are you doing to get to your desired profession in life? | Studying personal training |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | I don't have them on hand |
| What is the name of any course / degree completed? | Business Administration Services |
| Planned studies | personal trainer |
| In what aspects do you have a keen interest? | Fitness |
| What type of books do you like to read? | fiction |
| Would you prefer to read the book or watch the movie? | Read the Book |
| 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? | Animals |
| What are your views on religion and spirituality, and practiced religion? | Non-religious |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | No |
| Interests and hobbies | Fitness, hiking, self improvement, hanging out with friends |
| What is your preferred holiday? | Beach |
| If you were offered an all-inclusive holiday, what would it be? | Trip to Mauritius |
| Which interesting places have you visited? | Just locally with South Africa |
| What are your feelings on animal welfare? | Very strong, hence the vegetarian lifestyle |
| Strength and weaknesses | Strengths - cooking, baking, artsy things, training, reading. |
| What do others generally think of you? | Others generally think I am very nice, sweet and welcoming, easy to get with. |
| Favourite flower | Soft pink rose |
| What is your favourite meal? | Pad Thai Tofu |
| What is your favourite movie? | The Vow |
| What is your favourite book? | Harry Potter Series |
| Who is your favourite actor? | Channing Tatum |
| Who is your favourite actress? | Anne Hathaway |
| What is your favourite colour? | Soft pink |
| What is your favourite colour lipstick? | Soft pink |
| What is your favourite perfume? | DKNY Be Delicious |
| Who is your favourite person? | My 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? | Stay in with a loved one or book |
| 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? | rain |
| Are you more creative or analytical? | creative |
Family information of genetic parents
| Nationality for mother and father | Both South African |
| Country of origin and ancestry for mother and father | Both South African |
| Language spoken for mother and father | Both English |
| Professions for mother and father | Mom - house mom Dad - sales rep |
| Achievements on an academic level for mother and father | Both high school |
| Race for mother and father | Both white |
| Natural hair colour for mother and father | Blonde and black |
| Eye colour for mother and father | Both green |
| Height for mother and father | Quite tall |
| Mother and father build | average height, medium build. tall, medium build |
| Are your parents still alive? | Only my mother |
| If deceased, cause of death | Dad - heart attack |
| Age (if living, or age deceased) | Mom - 69 Dad - deceased at age 52 |
| Health status | Mom - good health |
| Please indicate if any twins in your family | Yes |
| Details of twins | MGM - was a twin |
| 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 | Dad had a heart condition |
| 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? | Only PGM |
| If deceased, state cause of death | Both unknown |
| Current age or age of death | MGM - deceased at 72 PGM - alive 77 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | MGF - dementia PGF - unknown |
| Current age or age at time of death | MGF - deceased at 81 PGF - deceased in 40 s. |
| Grandfathers' eye colour (maternal and paternal) | MGF - brown PGF - green |
| Grandmothers' eye colour (maternal and paternal) | MGM - blue PGM- blue |
| Grandfathers' hair colour (maternal and paternal) | MGF - brown PGF - black |
| Grandmothers' hair colour (maternal and paternal) | MGM - white PGM - brown |
| Health of grandmothers (maternal and paternal) | MGM - very healthy PGM - healthy |
| Health of grandfathers (maternal and paternal) | Both good |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All the same white |
| Any genetic health or psychological concerns worth noting regarding your grandparents | None |
| 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 | Cape Town |
| 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 |
