A – AA 1821-23, Port Shepstone
Generate PDF| Availability status: | Available now in Durban and Umhlanga |
| Race: | White |
| Age: | 32 |
| Hair colour: | Honey blonde |
| Eye colour: | Hazel |
| Has children: | Yes |
| Proven donor | Yes |
| Post matric studies: | Yes |
| Other physical information: | 1.63m., 72kg., medium build |
| Face shape: | Round |
| Other personal information: | South African nationality, A+ blood group. Candidate is employed as a graphic designer. Reason for donating: I hope to help complete another family. |
| Reproduction history: | Proven donor with pregnancy and two children (boy and girl) |
| What are your views on religion and spirituality, and practiced religion? | Each to their own |
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Category: Active Donor
Additional donor information
Initial information
| In which town and province do you live? | Port Shepstone |
| Nationality | South African |
| Where were you born? | Port Shepstone |
| What language(s) do you speak? | English |
| Year of birth | 1992 |
| Age | 32 |
| Star sign | Aries |
| 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'm sorry life can be unfair. I would love to help you. If I am able to help someone get something they want so badly, then why not. |
| How do you best describe yourself? | I think I'm hilarious most of the time. I love my children. I am a very hard worker and go getter., I am always up for something new and exciting. |
| Relationship status | Serious relationship |
Physical profile
| Race | White/ Caucasian |
| Skin complexion | Tanned |
| Face shape | |
| Nose shape defined by Wikipedia | Greek - perfect straight nose |
| Eye shape | |
| Height in metres | 1.63 |
| Weight in kilograms | 72 |
| What is your usual or ideal weight? | 65 |
| Build and body shape | Short and hourglass |
| Which body part is most sensitive to weight gain or loss? | Thighs |
| Eye colour | Hazel |
| Natural hair colour | Blonde |
| Hair colour as a child | |
| Hair type | Wavy |
| Hair texture | Fine |
| Description of hands and fingers | Small hands |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | No |
| 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 | No |
| Smoker | Ex-smoker |
| Alcohol consumption per week. | None |
| Do you wear glasses? | Never |
| How would you rate your sight? | 20 20 vision |
| 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? | 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. | 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 indicated |
| 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 indicated |
| 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? | A few times a week |
| In which exercises or sports do you partake now? | Walking |
| Have you excelled in any sports? | Swimming |
| What sports did you play at school? | Swimming and hockey |
Professional and academic information
| Occupation | Graphic Designer |
| What is your ideal career/ occupation? | Graphic Designer |
| What are you doing to get to your desired profession in life? | I am already working within my chosen career |
| Do you have a matric and university exemption? | Matric and Exemption |
| Subjects and grades or marks at school | Consumer Studies, Tourism, Design, Maths. All were great marks |
| What is the name of any course / degree completed? | BA Degree in Visual Communications, specializing in brand strategy |
| Planned studies | |
| In what aspects do you have a keen interest? | Anything creative or artsy |
| What type of books do you like to read? | |
| Would you prefer to read the book or watch the movie? | Watch the Movie |
| Do you know if your IQ was ever tested and the score please? | No, but I'm pretty confident it's not to shabby |
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? | The Ocean |
| What are your views on religion and spirituality, and practiced religion? | Each to their own |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | With sports yes, the family was very sporty |
| Interests and hobbies | Design, interior and definitely cooking |
| What is your preferred holiday? | |
| If you were offered an all-inclusive holiday, what would it be? | |
| Which interesting places have you visited? | Disneyland, Kennedy Space Centre, London Bridge. New York |
| What are your feelings on animal welfare? | Cannot stand animal abuse in any shape or form. |
| Strength and weaknesses | My stubbornness is both a strength and weakness. I can be easily agitated, but man my heart is good |
| What do others generally think of you? | My first impression is probably unaproachable but once you get to know me, you will see the real happy amd caring person that I am |
| Favourite flower | Orchid |
| What is your favourite meal? | Sushi |
| What is your favourite movie? | Mad max or titanic |
| What is your favourite book? | All the rauhl dauhl books |
| Who is your favourite actor? | Jaxx from sons of anarchy |
| Who is your favourite actress? | Melissa Mccarthy (the funny one) |
| What is your favourite colour? | Copper and black |
| What is your favourite colour lipstick? | Matt purple |
| What is your favourite perfume? | Hypnotic Poison or euphoria |
| Who is your favourite person? | My mom |
| 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? | No |
| Are you more cultural or more adventurous? | More Adventurous |
| 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 | South African |
| Country of origin and ancestry for mother and father | South Africa |
| Language spoken for mother and father | English |
| Professions for mother and father | Business owner and policeman |
| Achievements on an academic level for mother and father | |
| Race for mother and father | White |
| Natural hair colour for mother and father | Blonde and light brown |
| Eye colour for mother and father | Blue and brown |
| Height for mother and father | 1.63m. and 1.80 |
| Mother and father build | Mom - small built, dad - average build |
| Any specific defining traits for both parents | |
| Are your parents still alive? | Only my mother |
| If deceased, cause of death | Dad - killed on duty |
| Age (if living, or age deceased) | 54 |
| Health status | Good |
| Please indicate if any twins in your family | No |
| Any family members who have had cancer including aunts or uncles? | PGF - colon cancer, PGM - cancer (unknown) |
| 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? | No |
| 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 | No To Both |
| 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 - illness |
| Current age or age of death | 72 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | MGF - dementia, PGF - colon cancer |
| Current age or age at time of death | 68 |
| Grandfathers' eye colour (maternal and paternal) | Both blue |
| Grandmothers' eye colour (maternal and paternal) | Green and brown |
| Grandfathers' hair colour (maternal and paternal) | Blonde and light brown |
| Grandmothers' hair colour (maternal and paternal) | Both brown |
| Health of grandmothers (maternal and paternal) | Good |
| Health of grandfathers (maternal and paternal) | Good |
| 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 |
| 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 indicated |
Egg donation stipulations
| Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | No preference |
| Preferred town to donate | Durban |
| Towns available in which to donate - travel costs will be covered | Durban |
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 |
