A – CH 2878, Cape Town
Generate PDFAvailability status: | Available now in Cape Town |
Race: | Mixed race/ white/ caucasian |
Age: | 21 |
Hair colour: | Wavy dark brown hair |
Eye colour: | Hazel eyes |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.73m., 51kg., slim muscular athletic, broad shoulders, olive skin compexion, A cup, size 4 shoe, very light freckles, no dimples, arched brows, full lips, high cheekbones, thin jawline |
Face shape: | Oval |
Other personal information: | South African nationality, B+ blood type. Candidate holds a degree in Philosophy degree. Light to non-smoker. Reason for donating: I believe that every person has a right to choose parenthood, and I'd love to help those who need a little extra support making that choice. |
Reproduction history: | No children and no donations as yet |
What are your views on religion and spirituality, and practiced religion? | Religion should be a guide to a person morality and philosophy and not just instruction from above |
SKU: 56002
Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | Cape Town, Western Cape |
Nationality | South African |
Where were you born? | Cape Town, Western Cape |
What language(s) do you speak? | English, Afrikaans |
Year of birth | 1997 |
Age | 21 |
Star sign | Virgo |
Blood group (if known) | B+ |
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 live in a world where every baby is wanted. I think that opting for an egg donor is the most selfless act of love and care for your baby. I believe that a child who feels wanted and loved will grow into a wonderful person who will help change the world. |
How do you best describe yourself? | A big nerd, with an edge. I've put a lot of time and effort into creating my beliefs. I hold on to those beliefs very strongly, because they are my own. I love animals, do everything I can for the planet, and I wish big amazing things for myself. I hope to spend the rest of my life improving and becoming the best me. |
Relationship status | Serious relationship |
Physical profile
Race | White/ Caucasian |
Skin complexion | Olive |
Face shape | oval |
Nose shape defined by Wikipedia | Roman - Convex undulating nose |
Eye shape | Almond |
Height in metres | 1.73m. |
Weight in kilograms | 51kg. |
What is your usual or ideal weight? | 52kg. |
Build and body shape | Slim, svelte, slightly muscular. |
Which body part is most sensitive to weight gain or loss? | Abdomen |
Eye colour | Hazel |
Natural hair colour | Brown |
Hair colour as a child | Dark brown |
Hair type | Curly |
Hair texture | medium |
Description of hands and fingers | Long, slender hands, graceful fingers with a bit of excess skin around knuckles |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | A cup, size 4 shoe, very light freckles, no dimples, arched brows, full lips, high cheekbones, thin jawline |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Mila Kunis mixed with Julia Roberts |
Siblings physical traits - hair and eye colour, height, weight and build | No siblings |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | Not applicable |
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, physically active. |
Smoker | 0 - 5 per day |
Alcohol consumption per week. | 3 glasses |
Do you wear glasses? | Since childhood |
How would you rate your sight? | Very short sighted |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Mild acne |
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 | Hayfever |
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. | Allergex for hayfever, triphasal for birth control |
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? | 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. | Health conscious vegan, whole foods diet. |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Jogging |
Have you excelled in any sports? | Track running and cross country running |
What sports did you play at school? | Athletics, cross country and track |
Professional and academic information
Occupation | Waitress |
What is your ideal career/ occupation? | Author, artist, archivist, environmental ethicist |
What are you doing to get to your desired profession in life? | Working to pay off student debt, researching career options |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Always A's, 83+ average |
What is the name of any course / degree completed? | Bachelor of Arts |
Planned studies | Philosophy Honours or Archivist diploma |
In what aspects do you have a keen interest? | The environment and making the world a place of access |
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? | No |
Behavioural traits
What is most important in life to you? | Education, self improvement, the relationships I choose to have. |
If you had unlimited resources and could save one thing on earth what would it be? | Animals |
What are your views on religion and spirituality, and practiced religion? | Religion should be a guide to a person morality and philosophy and not just instruction from above |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | Mother won awards for raising cancer awareness. |
Interests and hobbies | Reading, collecting cool knick knacks, travel, hula hooping. |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Stone Henge, Nieu Bathesda, Graaf Reinet |
What are your feelings on animal welfare? | Very strong. Animals must be protected as they are innocent. I firmly believe in neutering and spaying of strays. |
Strength and weaknesses | Strength - I can finish any task I set my mind to; weakness - I struggle to ask for help. |
What do others generally think of you? | People are drawn to me. I'm a little on the funny side. People generally like to hear what I have to say. |
Favourite flower | Sunflower |
What is your favourite meal? | Vegan pastas and pizzas |
What is your favourite movie? | Wall e, The Breakfast Club |
What is your favourite book? | The Girl Who Saved the King of Sweden by Jonas Johansson |
Who is your favourite actor? | Steve Carrell |
Who is your favourite actress? | Ellen Page |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | Lilac and green |
What is your favourite perfume? | Lavender essential oil |
Who is your favourite person? | I have many but my best friend and lifetime partner Chloe. |
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? | Guitar and harmonica. |
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 | Mom - South African, dad - British |
Country of origin and ancestry for mother and father | Mom - South Africa, dad - UK |
Language spoken for mother and father | Both English |
Professions for mother and father | Mom - waitress, dad - internal auditor |
Achievements on an academic level for mother and father | Mom - bookkeeping diploma, dad - unsure, but I think college A levels |
Race for mother and father | Mom - coloured, dad - white |
Natural hair colour for mother and father | Mom - brunette, dad - blonde |
Eye colour for mother and father | Mom - brown, dad - blue |
Height for mother and father | Both about 1.72m. |
Mother and father build | Moom - slender and tall, dad - average built (muscular in youth) |
Any specific defining traits for both parents | Mom's side of family is large busted with a chin dimple, dad's side are slender small busted women. |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Both 44 |
Health status | Both very healthy |
Please indicate if any twins in your family and the relationship to you | Paternal uncles |
Please list any family members who have had cancer including aunts or uncles and on which family side | No 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? | MGF - high blood pressure |
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 | PGM had depression (circumstances, no further details known) |
Any physical deformaties or handicaps? If yes, please state | No |
History of asthma | Only my mother |
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? | Only MGM |
If deceased, state cause of death | PGM - committed suicide at 30 |
Current age or age of death | PGM - 30 |
Grandfathers still alive? | Only MGF |
If deceased, state cause of death | PGF - natural causes |
Current age or age at time of death | MGF - 71, PGF - 79 |
Grandfathers' eye colour (maternal and paternal) | MGF - brown, PGF - blue |
Grandmothers' eye colour (maternal and paternal) | MGM - brown, PGM - blue |
Grandfathers' hair colour (maternal and paternal) | MGF - black, PGF - blonde |
Grandmothers' hair colour (maternal and paternal) | Both brown |
Health of grandmothers (maternal and paternal) | Very healthy physically |
Health of grandfathers (maternal and paternal) | MGF - healthy despite blood pressure, PGF - average health |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | MGF - Asian mixed Dutch, Paternal grandparents are both white |
Any genetic health or psychological concerns worth noting regarding your grandparents | PGM - depression (circumstances, no further details known) |
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 | None |
Preferred town to donate | Cape Town |
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 |