S – AF 3257, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria, coastal regions - travel costs |
Race: | Black |
Age: | 21 |
Hair colour: | Curly brown soft hair |
Eye colour: | Brown |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.65m., 60kg., Athletic build, soft curly hair. |
Face shape: | Oval |
Other personal information: | Portuguese. Candidate is a psychology student residing in Johannesburg. She is a sportswoman, dancer, and writer. Overall, she is an energetic, enthusiastic, kind, soft spoken, loving person, looking to help other women achieve the blessing of experiencing motherhood. Non-smoker. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I'm Muslim, but I am not one to judge the other religions because I believe all religions are similar, just practiced differently. |
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Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | Johannesburg, Gauteng |
Nationality | Portuguese |
Where were you born? | Angola |
What language(s) do you speak? | English, Portuguese, French, Spanish, Kriolo |
Year of birth | 1999 |
Age | 21 |
Star sign | Aquarius |
Blood group (if known) | Unknown |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | The reason behind wanting to become an egg donor, is that I believe that every woman should be able to experience motherhood and there really isn't any better way of helping out than donating eggs. I've always wanted to be able to help people on a larger scale and I believe that this is it. |
How do you best describe yourself? | I am a very energetic and enthusiastic individual but I tend to be soft spoken, shy and a bit quiet at times. I'm goal driven and motivated. I would say I am a bit of a nerd but also a jock. I love science and writing but I also love sports and dancing and keeping fit. |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Brown |
Face shape | oval |
Nose shape defined by Wikipedia | Unanswered |
Eye shape | Round Almond |
Height in metres | 1.65m. |
Weight in kilograms | 55kg. |
What is your usual or ideal weight? | 60 |
Build and body shape | Athletic build, hourglass shape |
Which body part is most sensitive to weight gain or loss? | Legs |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Curly |
Hair texture | medium |
Description of hands and fingers | I have good sized hands and fingers for my physique because I am petite. |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | I do have rather large breasts - size 36B, size 6 shoe, dimples. |
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 | Healthy |
Smoker | never smoked |
Alcohol consumption per week. | Non drinker |
Do you wear glasses? | Since a teen |
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 | None |
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. | 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? | 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. | Halaal |
How often do you excercise? | Daily |
In which exercises or sports do you partake now? | Gym, soccer |
Have you excelled in any sports? | Athletics and soccer |
What sports did you play at school? | soccer, touch rugby, athletics |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | Psychology |
What are you doing to get to your desired profession in life? | Studying |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Mathematics, Computer Application Technology, Portuguese, English, Afrikaans, Life Orientation, Physical Education |
What is the name of any course / degree completed? | |
Planned studies | |
In what aspects do you have a keen interest? | Dance, writing and psychology |
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? | No |
Behavioural traits
What is most important in life to you? | God, health, family, friends (in that order) |
If you had unlimited resources and could save one thing on earth what would it be? | The earth itself because with every day that goes by it's deteriorating more and more. |
What are your views on religion and spirituality, and practiced religion? | I'm Muslim, but I am not one to judge the other religions because I believe all religions are similar, just practiced differently. |
Childhood religion? | Islam |
Any specific achievements or aspects of recognition in your family | No |
Interests and hobbies | Writing, cooking, baking, dance, soccer, exercising |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Portugal obviously, Dubai, Cape Verde, Mali, Senegal |
What are your feelings on animal welfare? | I'm an animal lover. Personally, not a fan of cats but I do love wild cats. Overall, all animals are valuable to our existence and should be preserved. |
Strength and weaknesses | Strengths - my character, personality, altruism and strong mindset; weaknesses - I can be a bit too kind and generous and I don't know how to say no at times. |
What do others generally think of you? | Everyone I meet usually thinks I'm a mean person but after they speak to me they deduct that I am a goofy person. |
Favourite flower | Orchid |
What is your favourite meal? | Portuguese dish ( Bacalhau com natas) |
What is your favourite movie? | The Notebook |
What is your favourite book? | The Kite Runner |
Who is your favourite actor? | Denzel Washington |
Who is your favourite actress? | Amanda Seyfried |
What is your favourite colour? | Teal |
What is your favourite colour lipstick? | Burgundy |
What is your favourite perfume? | Her Secret |
Who is your favourite person? | My Youngest Sister |
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? | I can sing but no instruments |
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 - Portuguese, dad - Malian |
Country of origin and ancestry for mother and father | Mom - Portugal, dad - Mali |
Language spoken for mother and father | Mom speaks Portuguese, dad speaks French |
Professions for mother and father | Mom -works for Angolan government, dad is a sel employer in the civil engineering field |
Achievements on an academic level for mother and father | Mom has various diplomas, uncertain about my dad |
Race for mother and father | Mom is mixed, dad is black |
Natural hair colour for mother and father | Both brown |
Eye colour for mother and father | Both brown |
Height for mother and father | Mom - 1.69m., dad - 1.73m. |
Mother and father build | Mom - thick, dad - small |
Any specific defining traits for both parents | My dad is quite tall |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 40, dad - 50 |
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 | 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? | 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 | None |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | PGM passed away in a car accident |
Current age or age of death | Both unknown |
Grandfathers still alive? | Only MGF |
If deceased, state cause of death | PGF - unknown |
Current age or age at time of death | Both unknown |
Grandfathers' eye colour (maternal and paternal) | MGF - light brown, PGF - unknown (didn't get to meet him) |
Grandmothers' eye colour (maternal and paternal) | Both brown |
Grandfathers' hair colour (maternal and paternal) | MGF - black, PGF - unknown |
Grandmothers' hair colour (maternal and paternal) | Both brown |
Health of grandmothers (maternal and paternal) | Healthy |
Health of grandfathers (maternal and paternal) | Healthy |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | MGM - black, MGF -white. both PGF and PGM black |
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 | None |
Preferred town to donate | Johannesburg |
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 |