A – MV 1570, Pretoria
Generate PDFAvailability status: | Available in Pretoria and Johannesburg, Cape Town - travel costs |
Race: | Caucasian/ white |
Age: | 33 |
Hair colour: | Medium wavy blonde hair |
Eye colour: | Blue eyes |
Has children: | Yes |
Proven donor | Yes |
Post matric studies: | No |
Other physical information: | 1.68m., 66kg., athletic and attractive, fair skin complexion. |
Face shape: | Square |
Other personal information: | South African nationality, Pisces star sign, O+ blood group, Christian. Candidate is employed as a Lab Assistant. She is a friendly, kind, outgoing, optimistic, animal lover who is caring and loving, with a variety of interests that range from mosaics to hiking. Non-smoker. Message to recipient: I truly hope you will be able to conceive with the help of my egg(s). |
Reproduction history: | 2 beautiful daughters and good quality eggs in previous donations resulting in pregnancies and children born. |
What are your views on religion and spirituality, and practiced religion? | Christian |
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SKU: 24382
Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | Centurion, Gauteng |
Nationality | South African |
Where were you born? | Pretoria |
What language(s) do you speak? | Afrikaans, English |
Year of birth | 1985 |
Age | 33 |
Star sign | Pisces |
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? | Friendly, kind, outgoing, optimistic, animal lover, caring and loving and would like to give struggling parents the same opportunity. |
How do you best describe yourself? | Motherly |
Relationship status | New relationship |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | square |
Nose shape defined by Wikipedia | Unanswered |
Eye shape | Not Selected |
Height in metres | 1.68m |
Weight in kilograms | 66kg. |
What is your usual or ideal weight? | 70kg. |
Build and body shape | Athletic, hour glass shaped. |
Which body part is most sensitive to weight gain or loss? | Breasts |
Eye colour | Blue |
Natural hair colour | |
Hair colour as a child | Blonde |
Hair type | Wavy |
Hair texture | medium |
Description of hands and fingers | Smallish hands with regular length fingers, size 7 feet with regular length toes |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Dimples, tallish legs, well defined arms and back. |
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 | No |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Excellent health, no diseases. |
Smoker | Not Selected |
Alcohol consumption per week. | 1-2 glasses of wine per week |
Do you wear glasses? | Not Selected |
How would you rate your sight? | Good |
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. | 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? | No |
History of asthma | No |
Indicate any medication you are taking and reason for it. | No |
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 truly hope they will be able to conceive with the help of my egg(s). |
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? | Mountain Hiking |
Have you excelled in any sports? | Yes, Drum majorettes |
What sports did you play at school? | Drum Majorettes |
Professional and academic information
Occupation | Laboratory Assistant |
What is your ideal career/ occupation? | Laboratory Technician |
What are you doing to get to your desired profession in life? | Water |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Above Average, around 70% |
What is the name of any course / degree completed? | None |
Planned studies | Technology |
In what aspects do you have a keen interest? | Pathology, Heamatology, Microbiology |
What type of books do you like to read? | |
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? | IQ tested, Score not known |
Behavioural traits
What is most important in life to you? | My children |
If you had unlimited resources and could save one thing on earth what would it be? | Macaroni and cheese with boerewors |
What are your views on religion and spirituality, and practiced religion? | Christian |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | No |
Interests and hobbies | Movies, Mosaic, Reading, Scrapbooking, Hiking, |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | New Zealand, Australia, Singapore, Botswana, Zambia, Zimbabwe, Dubai |
What are your feelings on animal welfare? | I am a big animal lover and get very upset when animals get hurt or are mistreated |
Strength and weaknesses | Friendliness and approachable |
What do others generally think of you? | Likable and talkative person |
Favourite flower | Softhearted |
What is your favourite meal? | Banana |
What is your favourite movie? | P.S. I Love You |
What is your favourite book? | Not Without My Daughter |
Who is your favourite actor? | Gerard Butler |
Who is your favourite actress? | Julia Roberts |
What is your favourite colour? | Shocking Orange |
What is your favourite colour lipstick? | Mosaic, Reading, Spending time with my family |
What is your favourite perfume? | Not Selected |
Who is your favourite person? | My kids |
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? | |
Are you more cultural or more adventurous? | Not Selected |
Do you prefer indoors or outdoors? | Not Selected |
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 | Afrikaans, English |
Professions for mother and father | SAAFA Administrator, Project Manager |
Achievements on an academic level for mother and father | Both have Matric and post qualifications |
Race for mother and father | Both caucasian/ white |
Natural hair colour for mother and father | Dark blonde and blonde |
Eye colour for mother and father | Green and blue |
Height for mother and father | Mom - 1.65m., dad - 1.72m. |
Mother and father build | Average |
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) | 52 and 54 |
Health status | Healthy |
Please indicate if any twins in your family and the relationship to you | No |
Please list any family members who have had cancer including aunts or uncles and on which family side | No To Both |
Any fertility problems in your family | |
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? | Yes, Father |
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 To Both |
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 To Both |
Any physical deformaties or handicaps? If yes, please state | None |
History of asthma | No to Both |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | |
Any other comments regaring any health aspects in your family | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Unanswered |
If deceased, state cause of death | PGM - heart Attack |
Current age or age of death | 72 and 55 |
Grandfathers still alive? | Unanswered |
If deceased, state cause of death | PGF - brain tumour |
Current age or age at time of death | 76 and 50 |
Grandfathers' eye colour (maternal and paternal) | Both blue |
Grandmothers' eye colour (maternal and paternal) | Green and blue |
Grandfathers' hair colour (maternal and paternal) | Blonde and dark brown |
Grandmothers' hair colour (maternal and paternal) | Black and blonde |
Health of grandmothers (maternal and paternal) | Good and deceased |
Health of grandfathers (maternal and paternal) | Good and deceased |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | None |
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 | No |
Preferred town to donate | Not selected |
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 |