S – SL 3418, Bloemfontein
Generate PDFAvailability status: | Available now in Bloemfontein |
Race: | Black |
Age: | 23 |
Hair colour: | Black |
Eye colour: | Dark brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.64m., 57kg., petite, good posture. |
Face shape: | Triangular |
Other personal information: | South African nationality, A+ blood type. Non-smoker. Candidate is a student, aspires to be a Phlebotomist. Non-smoker. Reason for donating: I want to give a couple or a woman the opportunity to have a healthy child of their own. |
Reproduction history: | One daughter and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I have none |
Add to donor preference list
Add to donor preference list
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Bloemfontein, Free State |
Nationality | South African |
Where were you born? | East London |
What language(s) do you speak? | IsiXhosa, Setswana, English and Zulu |
Year of birth | 1998 |
Age | 23 |
Star sign | Leo |
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 give a couple or a woman the opportunity to have a healthy child of their own. |
How do you best describe yourself? | I have a bubbly personality, I love people and I am an optimist. I have a strong point in academics but I would prefer referring To myself as a practical person. I am very compassionate and well spoken and have great empathy. |
Relationship status | Serious relationship |
Physical profile
Race | Black/African |
Skin complexion | Brown |
Face shape | triangular |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Almond |
Height in metres | 1.64m. |
Weight in kilograms | 54kg. |
What is your usual or ideal weight? | 52kg. |
Build and body shape | Hourglass |
Which body part is most sensitive to weight gain or loss? | Buttocks and breasts |
Eye colour | Brown |
Natural hair colour | Black |
Hair colour as a child | Black |
Hair type | Afro |
Hair texture | Fine |
Description of hands and fingers | Skinny |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup 32A, shoes size 4, no freckles and no dimples. |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | |
How many siblings do you have? |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy |
Smoker | Ex-smoker |
Alcohol consumption per week. | Once in a while |
Do you wear glasses? | Since Early Adulthood |
How would you rate your sight? | I can cope without glasses |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | None |
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? | None |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | Pollen and nuts |
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. | Nobe |
Any physical handicaps or deformaties? If yes, please state. | None |
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? | None of which I am aware |
History of asthma | Yes - Mild |
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? | I have had an abortion and laparoscopy |
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. | There are none |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | None of the above |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Gym |
Have you excelled in any sports? | Netball |
What sports did you play at school? | Netball |
Professional and academic information
Occupation | Scholar |
What is your ideal career/ occupation? | Phlebotomist |
What are you doing to get to your desired profession in life? | I am going to start a learnership next year and I am currently a university student |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | I get good grades and have failed a few modules |
What is the name of any course / degree completed? | I haven’t completed any course |
Planned studies | Phlebotomy |
In what aspects do you have a keen interest? | |
What type of books do you like to read? | |
Would you prefer to read the book or watch the movie? | Not Selected |
Do you know if your IQ was ever tested and the score please? | It was tested but I do not remember the score |
Behavioural traits
What is most important in life to you? | Success and happiness |
If you had unlimited resources and could save one thing on earth what would it be? | Time |
What are your views on religion and spirituality, and practiced religion? | I have none |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | Parents are academics |
Interests and hobbies | Reading and making money |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | The Gariep Dam |
What are your feelings on animal welfare? | Animals should be treated with kindness and I dislike the ill treatment of animals |
Strength and weaknesses | Strength - that I have a high emotional pain tolerance and nothing can bring me down, weakness - whenever I hold in emotions for too long I have an emotional break down. |
What do others generally think of you? | They think I am good at being a mediator. |
Favourite flower | I don’t have one, I am allergic to flowers. Red roses look good though. |
What is your favourite meal? | Braai vleis, pap and salads |
What is your favourite movie? | Regular Show |
What is your favourite book? | I know why the caged bird sings by Maya Angelou |
Who is your favourite actor? | Leonardo Di Caprio |
Who is your favourite actress? | Rebel Wilson |
What is your favourite colour? | Nude. |
What is your favourite colour lipstick? | Mar |
What is your favourite perfume? | One million |
Who is your favourite person? | My daughter |
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 have played the piano and the trumpet. |
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? | |
Are you more creative or 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 - SeTswana, dad - IsiXhosa |
Professions for mother and father | Mom - nurse, dad - district municipality manager |
Achievements on an academic level for mother and father | Mom - honours, dad - masters |
Race for mother and father | Both black |
Natural hair colour for mother and father | Both black |
Eye colour for mother and father | Both dark brown |
Height for mother and father | Mom - 1.69m., dad - 1.78m. |
Mother and father build | Mom - round and big boned, dad - tall, rectangular |
Any specific defining traits for both parents | None |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 59, dad - 61 |
Health status | Healthy |
Please indicate if any twins in your family and the relationship to you | None |
Please list any family members who have had cancer including aunts or uncles and on which family side | None |
Any fertility problems in your family | None |
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? | None |
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? | None of which I am aware |
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 | None |
Any physical deformaties or handicaps? If yes, please state | None |
History of asthma | Only my mother |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | None |
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 - TB |
Current age or age of death | MGM - 79, PGM - 73 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | PGF - unknown, MGF - liver disease |
Current age or age at time of death | MGF - 83, PGF - 62 |
Grandfathers' eye colour (maternal and paternal) | Both dark brown |
Grandmothers' eye colour (maternal and paternal) | Both dark brown |
Grandfathers' hair colour (maternal and paternal) | Both black |
Grandmothers' hair colour (maternal and paternal) | Both black |
Health of grandmothers (maternal and paternal) | Unknown |
Health of grandfathers (maternal and paternal) | Unknown |
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 | Pretoria |
Towns available in which to donate - travel costs will be covered |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
Please advise any specific donation criteria other than those mentioned | None |
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 |