S – DW 6356, Near Nelspruit
Generate PDF| Availability status: | Available now in Nelspruit only. |
| Race: | White/ Caucasian |
| Age: | 33 |
| Hair colour: | Brown |
| Eye colour: | Brown |
| Has children: | Yes |
| Smoker: | never smoked |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | Height: 1.67 meters Weight: 66 kg |
| Face shape: | Oval |
| Other personal information: | South African nationality. Candidate is employed as an administrator. She is a very very kind person with soft heart. Non-smoker. Reason for Donating: I would like to help someone to have child of their own. I am blessed with 2x beautiful boys and it will make my heart very happy. |
| Reproduction history: | Two children and no previous donations. |
| What are your views on religion and spirituality, and practiced religion? | I am a Christian and do go to Church. I believe in God and will never judge someone on their beliefs. I go to an English Church. |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Between Barberton and Nelspruit |
| In which province do you live? | Mpumalanga |
| Nationality | South Africa |
| Where were you born? | Vereeniging South Africa |
| What language(s) do you speak? | Afrikaans and English |
| Year of birth | 1992 |
| Age | 33 |
| Star sign | Scorpio |
| 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 help someone to have child of their own. I am blessed with 2x beautiful boys and it will make my heart very happy. |
| How do you best describe yourself? | I am a very kind person with soft heart. |
| Relationship status | Married |
| Have you donated eggs before? | No |
Physical profile
| Race | White/ Caucasian |
| Skin complexion | Fair |
| Face shape | Oval |
| Nose shape defined by Wikipedia | Jewish/ Hawk - Thin and sharp |
| Eye shape | Round Almond |
| Height in metres | 1.67 |
| Weight in kilograms | 66 |
| What is your usual or ideal weight? | 65 |
| Build and body shape | Slim |
| Which body part is most sensitive to weight gain or loss? | Upper body - weight loss Buttocks - weight gain |
| Eye colour | Brown |
| Natural hair colour | Brown |
| Hair colour as a child | Brown |
| Hair type | Straight |
| Hair texture | medium |
| Description of hands and fingers | Short slender fingers |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Few freckles, dimpels |
| Cup size | 32 A |
| Shoe size | 6 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Not sure |
| How many siblings do you have? | 2 |
| Sibling 1 Hair Colour | Brown |
| Sibling 1 Eye Colour | Green |
| Sibling 1 Build | Slim build |
| Sibling 2 Hair Colour | Brown |
| Sibling 2 Eye Colour | Blue |
| Sibling 2 Build | Slim build |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 2 |
| Child 1 Date of Birth | 27/09/2016 |
| Child 2 Date of Birth | 01/04/2020 |
| Fertility issues | None gave birth naturally to both of my boys. I had my tubes tied. |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Healthy |
| Any current diseases? | No |
| Smoker | never smoked |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Since childhood |
| How would you rate your sight? | 6 |
| 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. | Only when i get sick with Flu ext. |
| 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? | Tubal Liagation - June 2020 |
| 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? | Walking |
| Have you excelled in any sports? | Not alot |
| What sports did you play at school? | Netball |
Professional and academic information
| Occupation | Administrator |
| What is your ideal career/ occupation? | Being a teacher |
| What are you doing to get to your desired profession in life? | I only worked as a Receptionist,Administrator and being a mom to my boys. |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | Afrikaans - 60% English - 55% Math Literacy - 43% Economics - 42% Business Studies - 48% Hospitality Studies - 52% Life Orientation - 59% |
| What is the name of any course / degree completed? | Matric |
| Planned studies | None at the moment. |
| In what aspects do you have a keen interest? | N/A |
| 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? | Always to be kind to everyone. |
| If you had unlimited resources and could save one thing on earth what would it be? | Humanity |
| What are your views on religion and spirituality, and practiced religion? | I am a Christian and do go to Church. I believe in God and will never judge someone on their beliefs. I go to an English Church. |
| Childhood religion? | NG Church - The Nederduitse Gereformeerde Kerk (NGK), or Dutch Reformed Church in South Africa. |
| Any specific achievements or aspects of recognition in your family | N/A |
| Interests and hobbies | Like to read, excerzise -walking and enjoy life. |
| What is your preferred holiday? | Mountains |
| If you were offered an all-inclusive holiday, what would it be? | It will be a place where there are a lot of nature scenes. I am not picky. |
| Which interesting places have you visited? | Victoria Falls - Botswana, Zambia and Mauritius |
| What are your feelings on animal welfare? | I love animals. We are blessed to live on a farm. |
| Strength and weaknesses | Strength - I love cleaning and children. Weaknesses - I am too kind hearted. |
| What do others generally think of you? | I am always willing to help and kind. |
| Favourite flower | Daisies and sunflowers |
| What is your favourite meal? | i like home cooked meals and pasta. |
| What is your favourite movie? | The Notebook and Faith like Potatoes. |
| What is your favourite book? | Redeeming Love by Francine Rivers. |
| Who is your favourite actor? | Kevin Costner |
| Who is your favourite actress? | Rachel McAdams |
| What is your favourite colour? | Blue and green |
| What is your favourite colour lipstick? | Soft pink |
| What is your favourite perfume? | Tommy girl |
| Who is your favourite person? | My sister. |
| Are you more introverted or extroverted? | Introverted |
| Would you prefer to go out with friends or stay in with a loved one or book? | Depends on the situation |
| 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, cold, rain |
| 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 | Both South Africa |
| Language spoken for mother and father | Both Afrikaans |
| Professions for mother and father | Mom - deceased at the of 31 years and she worked for Absa bank. Dad - unsure he was not part of my life as much. |
| Achievements on an academic level for mother and father | Mom - matric Dad - unsure |
| Race for mother and father | Both white |
| Natural hair colour for mother | Brown |
| Natural hair colour for father | Brown |
| Eye colour for mother | Blue |
| Eye colour for father | Hazel |
| Height for mother and father | Not sure |
| Mother and father build | Slim |
| Are your parents still alive? | Only my father |
| If deceased, cause of death | Mom past away in accident |
| Age (if living, or age deceased) | Mom - 31 when she passed away Dad - around 60 |
| Health status | Mom - dDeceased Dad - healthy |
| Please indicate if any twins in your family | No |
| 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? | 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 | No |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | Only PGM |
| If deceased, state cause of death | Not indicated |
| Current age or age of death | PGM - 82 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Not sure |
| Current age or age at time of death | Not sure |
| Grandfathers' eye colour (paternal) | Green |
| Grandmothers' eye colour (paternal) | Blue |
| Grandfathers' hair colour (paternal) | Brown |
| Grandmothers' hair colour (paternal) | Brown |
| Health of grandmothers (maternal and paternal) | Good |
| 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 | All white |
| Any genetic health or psychological concerns worth noting regarding your grandparents | Not sure |
| Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | None of which I am aware. |
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 | Nelspruit |
| Towns available in which to donate - travel costs will be covered | Nelspruit |
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 |
