S – NL 6765, Pretoria
Generate PDF| Availability status: | Available no in Pretoria and Johannesburg |
| Race: | Black/African |
| Age: | 23 |
| Hair colour: | Black |
| Eye colour: | Brown |
| Has children: | No |
| Smoker: | Ex-smoker |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | Height: 1.60 meters Weight: 70 kg. Fair skin complexion |
| Face shape: | Round |
| Other personal information: | South African nationality. Xhosa and Setswana ancestry. Candidate aspires to be an ICU nurse. She is an incredibly shy person until she is in the right company. She is academically intelligent and very funny. Non-smoker. Reason for Donating: I genuinely believe everyone deserves to be in a loving home. A loving home filled with joy, laughter and happiness. I would be honoured knowing that I helped someone create their happy ending. |
| 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? | Everyone has the freedom to believe in what they want to believe. They have the right to practice their religion and spirituality. As long as they don't force it onto others. |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Pretoria |
| In which province do you live? | Gauteng |
| Nationality | South African |
| Where were you born? | Pretoria, Gauteng |
| What language(s) do you speak? | English Afrikaans Setswana Xhosa |
| Year of birth | 2003 |
| Age | 23 |
| Star sign | Pisces |
| 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 genuinely believe everyone deserves to be in a loving home. A loving home filled with joy, laughter and happiness. I would be honoured knowing that I helped someone create their happy ending. |
| How do you best describe yourself? | I am incredibly shy, until i'm around the right people. Not to brag, but I am academically intelligent AND funny. A jill of all traits. |
| 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 | Greek - perfect straight nose |
| Eye shape | Thin Almond |
| Height in metres | 1.60 |
| Weight in kilograms | 70 |
| What is your usual or ideal weight? | 70 |
| Build and body shape | I am curvy. |
| Which body part is most sensitive to weight gain or loss? | My stomach. |
| Eye colour | Brown |
| Natural hair colour | Black |
| Hair colour as a child | Brown |
| Hair type | Coarse |
| Hair texture | medium |
| Description of hands and fingers | Average fingers, no visible scars and no calluses. |
| Cup size | 34DD |
| Shoe size | UK4 |
| Are you left handed or right handed? | Left handed |
| With celebrity do you most resemble - physically? | Zoe Kravitz. |
| How many siblings do you have? | 1 |
| Sibling 1 Hair Colour | Black |
| Sibling 1 Eye Colour | Brown |
| Sibling 1 Build | Hefty |
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 |
| Smoker | Ex-smoker |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Since Early Adulthood |
| How would you rate your sight? | 8 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Yes |
| Please list | Eczema |
| 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. | Yes |
| Please list | Cannabis |
| 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? | Yoga and pilates. |
| Have you excelled in any sports? | Yes. |
| What sports did you play at school? | Gymnastics Hockey |
Professional and academic information
| Occupation | Unemployed. |
| What is your ideal career/ occupation? | ICU Nurse/Midwife. |
| What are you doing to get to your desired profession in life? | I am upgrading my results later this year. |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | English 50% Afrikaans 63% Life Orientation 51% Technical Mathematics 50% |
| What is the name of any course / degree completed? | None yet |
| Planned studies | N/A |
| In what aspects do you have a keen interest? | Electrical engineering. |
| What type of books do you like to read? | non-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 family, I don't know what i'd do without them. |
| If you had unlimited resources and could save one thing on earth what would it be? | To save all the African white rhinos. |
| What are your views on religion and spirituality, and practiced religion? | Everyone has the freedom to believe in what they want to believe. They have the right to practice their religion and spirituality. As long as they don't force it onto others. |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | None |
| Interests and hobbies | Dancing |
| What is your preferred holiday? | International |
| If you were offered an all-inclusive holiday, what would it be? | A peaceful holiday on an Island. |
| Which interesting places have you visited? | Cape Town |
| What are your feelings on animal welfare? | I believe every animal has the right to be treated well and receive the best care. |
| Strength and weaknesses | Strengths - cooking, cleaning, thinking/working under pressure Weaknesses - I am an empath, i have a very fragile heart. |
| What do others generally think of you? | I am also human at the end of the day, and that I try. I believe they see good in me, my aura speaks for itself. |
| Favourite flower | Orchirds |
| What is your favourite meal? | Mac and cheese |
| What is your favourite movie? | Cinderella: A twist in time. |
| What is your favourite book? | The Mark |
| Who is your favourite actor? | Will Feral |
| Who is your favourite actress? | Jennifer Aniston |
| What is your favourite colour? | Blue |
| What is your favourite colour lipstick? | Pink |
| What is your favourite perfume? | Panache |
| 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 musical or played any musical instruments? | I sing |
| Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
| Do you prefer indoors or outdoors? | Indoors |
| Which weather do you prefer? | 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 | Mom - Isixhosa/Setswana Dad - Afrikaans |
| Professions for mother and father | Mom - claims Assessor/ claims administrator. Dad - underground miner. |
| Achievements on an academic level for mother and father | Mom - business degree. Dad - None |
| Race for mother and father | Mom - black Dad - coloured |
| Natural hair colour for mother | Black |
| Natural hair colour for father | Black |
| Eye colour for mother | Black |
| Eye colour for father | Hazel |
| Height for mother and father | Mom - 1.63m. Dad - 1.68m. |
| Mother and father build | Mom - chubby. Dad - slim. |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | Mom - 59 Dad - 69 |
| Health status | Both healthy |
| 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 | My great grandmother had 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? | Yes |
| Please provide details of genetic diseases in your family | Mom - fibrosis |
| 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 | PGM - natural causes. |
| Current age or age of death | MGM - 86 PGM - 84 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | MGF - natural causes PGF - Got shot |
| Current age or age at time of death | Both unknown |
| Grandfathers' eye colour (maternal) | Brown |
| Grandfathers' eye colour (paternal) | Brown |
| Grandmothers' eye colour (maternal) | Brown |
| Grandmothers' eye colour (paternal) | Hazel |
| Grandfathers' hair colour (maternal) | Black |
| Grandfathers' hair colour (paternal) | Black |
| Grandmothers' hair colour (maternal) | Black |
| Grandmothers' hair colour (paternal) | Black |
| Health of grandmothers (maternal and paternal) | MGM - moderate PGM - healthy |
| Health of grandfathers (maternal and paternal) | MGF - moderate PGF - 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 expect PGM coloured. |
| 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 | Pretoria |
| Towns available in which to donate - travel costs will be covered | 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 |
