A – SB 2532, Port Elizabeth
Generate PDFAvailability status: | Available now in Port Elizabeth, other regions - travel costs |
Race: | White/ Caucasian/ Coloured/ mixed race |
Age: | 25 |
Hair colour: | Curly blonde hair |
Eye colour: | Green eyes |
Has children: | No |
Proven donor | Yes |
Post matric studies: | No |
Other physical information: | 1.75m., 59kg., fair skin complexion, 32 A cup, size 6 shoe, some freckles. |
Face shape: | Oval |
Other personal information: | South African nationality, AB+ blood group, Christian. Candidate is a biokineticist student and very athletic, enjoys swimming, waterpolo and hockey. She is a shy and quiet lady. She excelled at school with six distinctions. Non-smoker. Reason for donating: When I play with my baby cousins and nephew, I enjoy that a lot and I enjoy being around little children. Being able to give someone else that happiness times a billion would make me happy. |
Reproduction history: | No children and good quality eggs in previous donation. |
What are your views on religion and spirituality, and practiced religion? | I'm a Roman Catholic and a strong believer of the faith |
SKU: 66298
Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | Port Elizabeth, Eastern Cape |
Nationality | South African |
Where were you born? | King Williams Town |
What language(s) do you speak? | English, Afrikaans and Spanish |
Year of birth | 1996 |
Age | 25 |
Star sign | Libra |
Blood group (if known) | AB+ |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | When I play with my baby cousins and nephew, I enjoy that a lot and I enjoy being around little children. Being able to give someone else that happiness times a billion would make me happy. |
How do you best describe yourself? | A shy yet athletic and adventurous person who loves speinding time with family and friends. |
Relationship status | Single |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Fair |
Face shape | Not Selected |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Almond |
Height in metres | 1.75m |
Weight in kilograms | 59kg |
What is your usual or ideal weight? | 58kg |
Build and body shape | Petite and tall with long arms and legs. |
Which body part is most sensitive to weight gain or loss? | Thighs but I hardly pick up weight. |
Eye colour | Green |
Natural hair colour | Blonde |
Hair colour as a child | Blonde |
Hair type | Curly |
Hair texture | medium |
Description of hands and fingers | Long fingers and medium sized hands |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | 34A cup, size 6 shoe, freckles, slight dimples |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Lindsay Lohan |
Siblings physical traits - hair and eye colour, height, weight and build | All brothers well over 1.78m., brown and blonde hair, green and blue eyes, all rugby player built and well defined |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | None |
Fertility issues | No |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy |
Smoker | never smoked |
Alcohol consumption per week. | 6 glasses a week |
Do you wear glasses? | Since childhood |
How would you rate your sight? | Not that 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 | Sinuses now and then |
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? | No |
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? | Daily |
In which exercises or sports do you partake now? | Swimming and waterpolo |
Have you excelled in any sports? | Yes - swimming |
What sports did you play at school? | Swimming, waterpolo and hockey |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | Biokineticist |
What are you doing to get to your desired profession in life? | Studying BHSc Biokinetics at NMMU |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Maths Lit - 91%, English - 76% , Afrikaans - 82%, Biology - 86%, Geography - 86%, Tourism - 89%, Life Orientation - 84% |
What is the name of any course / degree completed? | Have not yet completed my course - in 2nd Year |
Planned studies | BHSc Biokinetics |
In what aspects do you have a keen interest? | Sports, Anatomy and Physiology |
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? | N/A |
Behavioural traits
What is most important in life to you? | Family and my studies |
If you had unlimited resources and could save one thing on earth what would it be? | The environment |
What are your views on religion and spirituality, and practiced religion? | I'm a Roman Catholic and a strong believer of the faith |
Childhood religion? | Roman Catholic |
Any specific achievements or aspects of recognition in your family | My brother plays super rugby for the Stormers and The Springboks, my second brother plays rugby for Boland and my third brother plays rugby for NMMU. |
Interests and hobbies | Aquatics and rugby |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Important sites around South Africa such as Die Groot Gat, Table Mountain, etc |
What are your feelings on animal welfare? | Highly against animal abuse. |
Strength and weaknesses | |
What do others generally think of you? | Quiet person, very king hearted and caring and always wanting to help others |
Favourite flower | Lily |
What is your favourite meal? | Mom's homemade chicken pie |
What is your favourite movie? | Me before You |
What is your favourite book? | Fifty Shades book series |
Who is your favourite actor? | Jason Statham |
Who is your favourite actress? | Sandra Bullock |
What is your favourite colour? | White |
What is your favourite colour lipstick? | Pink |
What is your favourite perfume? | Anything that smells fresh and light |
Who is your favourite person? | My parents are my favourite people |
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? | No |
Are you more cultural or more adventurous? | More Adventurous |
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 | Mother - South African/ English and Father - South African/ French |
Language spoken for mother and father | English and Afrikaans |
Professions for mother and father | Parents both retired but mom was a quantity surveyor and dad was a teacher |
Achievements on an academic level for mother and father | Mom - matric, dad - teaching degree |
Race for mother and father | Coloured |
Natural hair colour for mother and father | Mom - blonde, dad - brown |
Eye colour for mother and father | Mom - hazel, dad - blue |
Height for mother and father | Mom - 1.65m., dad - 1.78m. |
Mother and father build | Mom - short and petite with small hands and feet, dad - tall |
Any specific defining traits for both parents | Both had slight freckles when they were younger. |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 62, dad - 64 |
Health status | Healthy |
Please indicate if any twins in your family and the relationship to you | Paternal cousins |
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 | 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? | Dad - diabetes and uncle - heart problems (bypass) |
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 | No |
Any physical deformaties or handicaps? If yes, please state | No |
History of asthma | Not Selected |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | No |
Any other comments regaring any health aspects in your family | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Asthma and kidney failure |
Current age or age of death | Unknown |
Grandfathers still alive? | Unanswered |
If deceased, state cause of death | Old age and unknown |
Current age or age at time of death | Not applicable |
Grandfathers' eye colour (maternal and paternal) | Both blue |
Grandmothers' eye colour (maternal and paternal) | MGM - blue, PGM - hazel |
Grandfathers' hair colour (maternal and paternal) | Both brown |
Grandmothers' hair colour (maternal and paternal) | Both brown |
Health of grandmothers (maternal and paternal) | Not applicable |
Health of grandfathers (maternal and paternal) | Not applicable |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | MGM - German/coloured, MGF - German, PGM - coloured., PGF - French |
Any genetic health or psychological concerns worth noting regarding your grandparents | No |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | No |
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 | Port Elizabeth |
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 |