S – AC 3350, East London
Generate PDFAvailability status: | Available now in Port Elizabeth - travel costs |
Race: | White / South African |
Age: | 26 |
Hair colour: | Brown |
Eye colour: | Brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.6m., 58kg., curly brown hair |
Face shape: | Heart |
Other personal information: | South African nationality, Christian, A+ blood group. Candidate is employed in administration and aspires to be a paramedic. Light to non-smoker. Reason for donating: I would like to help mommies and couples who can't have children and struggle. It’s the best feeling to have children! |
Reproduction history: | One son born 2015 and daughter born 2018. No donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Christian |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | East London, Eastern Cape |
Nationality | South African |
Where were you born? | East London |
What language(s) do you speak? | English |
Year of birth | 1997 |
Age | 26 |
Star sign | Pisces |
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 would like to help mommies and couples who can't have children and struggle. It’s the best feeling to have children! |
How do you best describe yourself? | Very friendly, soft hearted, sensitive, over protective, Loving and caring. |
Relationship status | Single |
Physical profile
Race | White/ Caucasian |
Skin complexion | Tanned |
Face shape | heart |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Thin Almond |
Height in metres | 1.6m. |
Weight in kilograms | 58kg. |
What is your usual or ideal weight? | 56kg. |
Build and body shape | Medium, not overweight and not too thin |
Which body part is most sensitive to weight gain or loss? | My buttocks |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Dark brown |
Hair type | Curly |
Hair texture | medium |
Description of hands and fingers | Soft Meduim length fingers Thin in shape |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Size 5 shoe, 32A breast cup (used to be 34D, but they shrunk from breastfeeding), dimples, lots of beauty spots |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Selena Gomez |
Siblings physical traits - hair and eye colour, height, weight and build | Two brothers - 1.6m and 1.9m., brown hair, brown eyes, freckles |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | Yes |
No. and ages of children (if applicable) | Son born 2015 and daughter born 2018 |
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 | 0 - 5 per day |
Alcohol consumption per week. | Nothing |
Do you wear glasses? | Never |
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 just thyroid |
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? | None |
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. | Tattoo |
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. | None |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | None |
How often do you excercise? | Daily |
In which exercises or sports do you partake now? | Just the gym, weight lifting and cardio |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Hockey, swimming and netball |
Professional and academic information
Occupation | Administration |
What is your ideal career/ occupation? | Paramedic one day |
What are you doing to get to your desired profession in life? | Trying to save up |
Do you have a matric and university exemption? | No matric |
Subjects and grades or marks at school | |
What is the name of any course / degree completed? | |
Planned studies | Paramedics |
In what aspects do you have a keen interest? | Paramedics |
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? | 9 |
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? | Homeless, abused and traumatised children and babies and animals |
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 | None |
Interests and hobbies | Crime documentaries, gyming and children’s play times |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Small towns in between Cape Town and East London |
What are your feelings on animal welfare? | Very high as I have a weakness for animals |
Strength and weaknesses | Strengths - racing, gyming and my children; weakness - abused children and animals |
What do others generally think of you? | I'm a nice person.. Very loving and always there for everyone |
Favourite flower | Black rose |
What is your favourite meal? | Burger kings chilli cheese roll |
What is your favourite movie? | You before me |
What is your favourite book? | Crime 24 documentary |
Who is your favourite actor? | Johnny depp |
Who is your favourite actress? | Lady gaga |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | Light pink |
What is your favourite perfume? | Beyonces |
Who is your favourite person? | Mom |
Are you more introverted or extroverted? | Introverted |
Would you prefer to go out with friends or stay in with a loved one or book? | Stay in with a loved one or book |
Are you musical or played any musical instruments? | No just love music |
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 | Mom’s family from England, dad’s family is German. |
Country of origin and ancestry for mother and father | England and Germany |
Language spoken for mother and father | Both Afrikaans and English |
Professions for mother and father | Mom - administrative for a wind farm, dad - chief works inspector for the public roads |
Achievements on an academic level for mother and father | Both matric |
Race for mother and father | Both white |
Natural hair colour for mother and father | Both brown |
Eye colour for mother and father | Both brown, mom has bit of green |
Height for mother and father | Mom - 1.9m., dad - 1.5m. |
Mother and father build | Mom - big boned and very tall, dad - medium and small build and short |
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 - 57, dad - 63 |
Health status | Both healthy |
Please indicate if any twins in your family and the relationship to you | None of which I am aware |
Please list any family members who have had cancer including aunts or uncles and on which family side | None of which I am aware |
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? | None of which I am aware |
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 of which I am aware |
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 of which I am aware |
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 | Only my father |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | Unknown |
Current age or age of death | Unknown |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Unknown |
Current age or age at time of death | Mid 70’s |
Grandfathers' eye colour (maternal and paternal) | Both blue |
Grandmothers' eye colour (maternal and paternal) | Both blue |
Grandfathers' hair colour (maternal and paternal) | Both brown |
Grandmothers' hair colour (maternal and paternal) | Both blonde |
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 |
Egg donation stipulations
Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | Nothing |
Preferred town to donate | Port Elizabeth |
Towns available in which to donate - travel costs will be covered | Port Elizabeth |
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 |