A – DS 2682, Pretoria
Generate PDFAvailability status: | Available in Pretoria |
Race: | White/ Caucasian |
Age: | 23 |
Hair colour: | Wavy straight ash blonde hair |
Eye colour: | Green eyes |
Has children: | Yes |
Proven donor | Yes |
Post matric studies: | No |
Other physical information: | 1.67m., 68kg., fair skin complexion, size 8 feet shoes, broader shoulders, size C/D cup, hourglass figure |
Face shape: | Oval |
Other personal information: | South African nationality, A+ blood group, Gemini star sign, Christian. Candidate loves sports, music, art, people and animals. She is very energetic - both an extrovert and introvert. She is a student and an aupair, excelled at school with distinction. She has achieved national and provincial colours for dancing and sport. She previously studied psychology, but opted to follow her heart. Light to non-smoker. Reason for donating: I have seen it in my own family and know what it is like to want a child but not be able to. |
Reproduction history: | One child and good quality eggs in previous donation resulted in twin pregnancy. |
What are your views on religion and spirituality, and practiced religion? | I believe in Christ |
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SKU: 76508
Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | Pretoria, Gauteng |
Nationality | South African |
Where were you born? | Kempton Park |
What language(s) do you speak? | Afrikaans and English |
Year of birth | 1997 |
Age | 23 |
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 have seen it in my own family and know what it is like to want a child but not be able to. |
How do you best describe yourself? | Energetic fun, smart, fierce, brave, strong and independent |
Relationship status | Married |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | oval |
Nose shape defined by Wikipedia | Turned up |
Eye shape | Round |
Height in metres | 1.67m. |
Weight in kilograms | 68kg. |
What is your usual or ideal weight? | 68kg. |
Build and body shape | Hourglass figure, big breasts, shoulders of a swimmer |
Which body part is most sensitive to weight gain or loss? | Gain - breasts; loss - arms |
Eye colour | Green |
Natural hair colour | Blonde |
Hair colour as a child | Ash blonde |
Hair type | Wavy |
Hair texture | Thick |
Description of hands and fingers | Big hands, long fingers, strong nails |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | C cup bra, size 7/8 shoe, very few freckles, small dimples on my cheeks, two cute dimples on my lower back |
Are you left handed or right handed? | Ambidextrous |
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 as far as I am aware |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy |
Smoker | 0 - 5 per day |
Alcohol consumption per week. | Less than 3 glasses off wine |
Do you wear glasses? | Since last year |
How would you rate your sight? | Fine, my eyes start to hurt in the light of oncoming traffic in the evenings |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Acne in early adulthood managed by the pill |
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 | Psheudoephedrine |
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. | None |
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 |
History of asthma | Yes - Mild |
Indicate any medication you are taking and reason for it. | Foxair - Asthma attack if needed |
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 had a piece of my jaw rebuilt after a hockey accident |
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. | None |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Mountain biking and running |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Hockey, cricket, athletics, softball, dance acrobatics, netball, cross country, mountain biking swimming and golf |
Professional and academic information
Occupation | Document Administrator |
What is your ideal career/ occupation? | Sales and marketing Director |
What are you doing to get to your desired profession in life? | Studying |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Geography 70+, Math Literacy 95%, English first 70+, Afrikaans first 60+, Hotel Management 70+, Tourism 70+, Life Orientation 80+ |
What is the name of any course / degree completed? | |
Planned studies | Akedemia BA degree |
In what aspects do you have a keen interest? | Love everyone and very attentive of what is going on around me |
What type of books do you like to read? | |
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? | yes 147 |
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? | Children |
What are your views on religion and spirituality, and practiced religion? | I believe in Christ |
Childhood religion? | Same as now |
Any specific achievements or aspects of recognition in your family | Dad was in the military, I have SA colours for dancing, provincial colours for cricket and acrobatics. Mom is a maths genuis, maternal grandparents - bakers and farmers, paternal grandparents - nursers and military |
Interests and hobbies | Too many to name all but sports, arts, music, food, adventure and speed |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Oribi Gorge Caves, Stone Cadel, Morgue hospitals schools |
What are your feelings on animal welfare? | I love animals so thats that! |
Strength and weaknesses | I will send my whole personal analysis to baby2mom do inquires through them |
What do others generally think of you? | Fun, cool, sweet, loving, happy and strong |
Favourite flower | Daisy |
What is your favourite meal? | Curry |
What is your favourite movie? | Harry Potter |
What is your favourite book? | Harry Potter |
Who is your favourite actor? | Harrison Ford |
Who is your favourite actress? | Emma Watson |
What is your favourite colour? | Teal |
What is your favourite colour lipstick? | Burgandy |
What is your favourite perfume? | Avon |
Who is your favourite person? | My father |
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? | Ex choir singer |
Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
Do you prefer indoors or outdoors? | Outdoors |
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 Scotland |
Language spoken for mother and father | Afrikaans and english |
Professions for mother and father | Mom - accredited accountant, dad - executive Director of USA company |
Achievements on an academic level for mother and father | Mom - degreed, dad - masters |
Race for mother and father | Both white/ caucasian |
Natural hair colour for mother and father | Mom - blonde, dad - black |
Eye colour for mother and father | Mom - green, dad - brown |
Height for mother and father | Mom - 1.59m., dad - 1.98m. |
Mother and father build | Mom - small, dad - big |
Any specific defining traits for both parents | |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 53, dad - 51 |
Health status | Both healthy |
Please indicate if any twins in your family and the relationship to you | My dad is a twin and maternal cousins |
Please list any family members who have had cancer including aunts or uncles and on which family side | Mother, and maternal uncle |
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 |
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 | Not Selected |
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 - heart stoped in sleep |
Current age or age of death | MGM - 81, PGM - passed at 63 |
Grandfathers still alive? | Only MGF |
If deceased, state cause of death | PGF - gangrene, lost leg in war, scar tissue caused thinning of veins |
Current age or age at time of death | MGM - 82, PGF - passed at 67 |
Grandfathers' eye colour (maternal and paternal) | MGF - green, PGF - blue |
Grandmothers' eye colour (maternal and paternal) | MGM - green, PGM - blue |
Grandfathers' hair colour (maternal and paternal) | MGF -black, PGF - blonde |
Grandmothers' hair colour (maternal and paternal) | MGM - brown, PGM - blonde |
Health of grandmothers (maternal and paternal) | MGM - healthy still works everyday |
Health of grandfathers (maternal and paternal) | MGF - healthy still works everyday |
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/ caucasian |
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 |