S – RK 6742, Maseru
Generate PDF| Availability status: | Available now in Bloemfontein - travel costs |
| Race: | Black/African |
| Age: | 22 |
| Hair colour: | Black |
| Eye colour: | Brown |
| Has children: | No |
| Smoker: | Ex-smoker |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | Height: 1.7 meters Weight: 57 kg. Fait skin complexion |
| Face shape: | Round |
| Other personal information: | Mosotho nationality. A+ blood group. Candidate is a very kind and loving person, always bubbly and jolly around children hence she is a private tutor. Non-smoker. Reason for Donating: I want to help those who cant have babies on their own. |
| Reproduction history: | Has Children: No Number of Children: 0 Have you donated eggs before: No |
| What are your views on religion and spirituality, and practiced religion? | I am not really biased, I believe everyone should believe in what they want. |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Maseru |
| In which province do you live? | Free State |
| Nationality | Mosotho |
| Where were you born? | i was born in Lesotho |
| What language(s) do you speak? | Sesotho and English fluently |
| Year of birth | 2004 |
| Age | 22 |
| Star sign | Gemini |
| Blood group (if known) | A+ |
| 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 help those who cant have babies on their own. |
| How do you best describe yourself? | I am a very kind and loving person, always bubbly and jolly around children hence I am private tutoring |
| Relationship status | New relationship |
| 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 | Thin Almond |
| Height in metres | 1.7 |
| Weight in kilograms | 57 |
| What is your usual or ideal weight? | 60 |
| Build and body shape | Well build |
| Which body part is most sensitive to weight gain or loss? | None |
| Eye colour | Brown |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Curly |
| Hair texture | medium |
| Description of hands and fingers | Not long nor short fingers, slight calluses on fingertips, no visible scars |
| Cup size | Small |
| Shoe size | 4 |
| Are you left handed or right handed? | Ambidextrous |
| With celebrity do you most resemble - physically? | A little like Tatiana |
| How many siblings do you have? | 1 |
| Sibling 1 Hair Colour | Black |
| Sibling 1 Eye Colour | Brown |
| Sibling 1 Build | Well built |
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 |
| 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? | When I Get A Chance |
| In which exercises or sports do you partake now? | jogging |
| Have you excelled in any sports? | Volley ball |
| What sports did you play at school? | Volley ball, soccer, chess |
Professional and academic information
| Occupation | Private tutor |
| What is your ideal career/ occupation? | Teaching |
| What are you doing to get to your desired profession in life? | I went to LCE and currently waiting for my graduation |
| Do you have a matric and university exemption? | Matric and Exemption |
| Subjects and grades or marks at school | Maths 70% English 80% Sesotho 78% Food and Nutrituon 95% Literature 70% |
| What is the name of any course / degree completed? | I completed diploma in Education Secondary |
| Planned studies | None for now. |
| In what aspects do you have a keen interest? | Anything that has to do with children. |
| 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? | My mother and little brother |
| If you had unlimited resources and could save one thing on earth what would it be? | Always family |
| What are your views on religion and spirituality, and practiced religion? | I am not really biased, I believe everyone should believe in what they want. |
| Childhood religion? | Evangelical Church |
| Any specific achievements or aspects of recognition in your family | None |
| Interests and hobbies | I love reading |
| What is your preferred holiday? | Beach |
| If you were offered an all-inclusive holiday, what would it be? | A vacation to the beach |
| Which interesting places have you visited? | None really, ive been in Lesotho since I was born |
| What are your feelings on animal welfare? | I love animals, and I want them taken care of them. |
| Strength and weaknesses | Strengths - cooking, leadership skills, public speaking, confident Weaknesses - shy |
| What do others generally think of you? | I am a happy person. |
| Favourite flower | Daisy |
| What is your favourite meal? | Wings, chips, salad |
| What is your favourite movie? | Anna |
| What is your favourite book? | A wrinkle in Time |
| Who is your favourite actor? | Victory Micheal |
| Who is your favourite actress? | Ruby Rose |
| What is your favourite colour? | Blue |
| What is your favourite colour lipstick? | None |
| What is your favourite perfume? | Gucci Rush |
| Who is your favourite person? | My 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? | Stay in with a loved one or book |
| Are you musical or played any musical instruments? | I sing |
| Are you more cultural or more adventurous? | More Adventurous |
| Do you prefer indoors or outdoors? | Indoors |
| Which weather do you prefer? | rain |
| Are you more creative or analytical? | creative |
Family information of genetic parents
| Nationality for mother and father | Both Mosotho |
| Country of origin and ancestry for mother and father | Both Lesotho |
| Language spoken for mother and father | Mom - sesotho amd English Dad - sesotho |
| Professions for mother and father | Mom - did only her matric and works as a coordinator |
| Achievements on an academic level for mother and father | None really |
| Race for mother and father | Both black |
| Natural hair colour for mother | Black |
| Natural hair colour for father | Black |
| Eye colour for mother | Brown |
| Eye colour for father | Hazel |
| Height for mother and father | mom 1.9 dad 2.2 |
| Mother and father build | Both well build |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | Mom - 44 Dad - 46 |
| Health status | Both 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 | Yes |
| Please provide details of mental diseases in your family | My dad has been going in and out of the mental institution currently, he has always been okay though and he got where he is now due to usage of drugs. |
| 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 PGM |
| If deceased, state cause of death | MGM - old age |
| Current age or age of death | MGM - 79 died PGM - 75 alive |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Unknown |
| Current age or age at time of death | Unknown |
| Grandfathers' eye colour (maternal) | Brown |
| Health of grandmothers (maternal and paternal) | MGM - dead PGM - okay |
| Health of grandfathers (maternal and paternal) | Both deceased |
| 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 | 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 | bloemfontein |
| Towns available in which to donate - travel costs will be covered | Bloemfontein |
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 |



