S – AK 3313, Cape Town
Generate PDFAvailability status: | Available now in Cape Town |
Race: | Coloured |
Age: | 30 |
Hair colour: | Dark brown |
Eye colour: | Dark brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.62m., 64kg., medium build |
Face shape: | Round |
Other personal information: | South African nationality, Christian, A+ blood group. Candidate is employed as a finance assistant. She completely blessed with her child and would love to help a recipient have the same blessing! She has a very outgoing personality. Light smoker. Reason for donating: I am completely blessed with my child and I’d love to help a recipient have the same blessing! |
Reproduction history: | One child and no donations as yet. Candidate is a twin and her dad’s brother is a twin. |
What are your views on religion and spirituality, and practiced religion? | Practicing Christian |
Category: Active Donor
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 |
What language(s) do you speak? | English |
Year of birth | 1993 |
Age | 30 |
Star sign | Sagittarius |
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 am completely blessed with my child and I’d love to help a recipient have the same blessing! |
How do you best describe yourself? | Outgoing, loving, huge heart |
Relationship status | Single |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Brown |
Face shape | round |
Nose shape defined by Wikipedia | -1 |
Eye shape | Asian |
Height in metres | 1.62 |
Weight in kilograms | 64 |
What is your usual or ideal weight? | 55kg. |
Build and body shape | Medium |
Which body part is most sensitive to weight gain or loss? | My legs |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Dark brown |
Hair type | Wavy |
Hair texture | -1 |
Description of hands and fingers | Long fingers, average sized hands |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Cup size before pregnancy was a B. Always had a small cup size. Shoe size is 6/7 |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | |
Siblings physical traits - hair and eye colour, height, weight and build | Twin sister - 1.8m., 58kg., slim build, brown hair and eyes |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | One child born 2019 |
Fertility issues | None |
Health of egg donor
Are you a twin? | Yes |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Normal |
Smoker | 0 - 5 per day |
Alcohol consumption per week. | Occasional drinker |
Do you wear glasses? | Since last year |
How would you rate your sight? | Not good in the dark |
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? | None |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | Hay fever |
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. | Depression (not genetic) |
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. | None |
Details of any operations? | Tonsils, wisdoms, c-section |
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. | No |
How often do you excercise? | When I Get A Chance |
In which exercises or sports do you partake now? | None |
Have you excelled in any sports? | No |
What sports did you play at school? | None. Did music/arts |
Professional and academic information
Occupation | Finance Assistant |
What is your ideal career/ occupation? | Marketing |
What are you doing to get to your desired profession in life? | Currently completed my studies (waiting to graduate this year) |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | |
What is the name of any course / degree completed? | ND in Business and Information Administration |
Planned studies | BTech 2021 |
In what aspects do you have a keen interest? | Music |
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? | My son and family |
If you had unlimited resources and could save one thing on earth what would it be? | Sea animals! |
What are your views on religion and spirituality, and practiced religion? | Practicing Christian |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | A presidential award for my grandfather’s community service |
Interests and hobbies | |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Thailand |
What are your feelings on animal welfare? | Support them |
Strength and weaknesses | |
What do others generally think of you? | Hardworking |
Favourite flower | White rose |
What is your favourite meal? | Macaroni and cheese |
What is your favourite movie? | Pulp Fiction |
What is your favourite book? | Capitalist Nigger |
Who is your favourite actor? | Ashton Kutcher |
Who is your favourite actress? | Charlize Theron |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | Nude |
What is your favourite perfume? | Tommy GIRL |
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? | Stay in with a loved one or book |
Are you musical or played any musical instruments? | Piano and trombone |
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 | Both South African |
Country of origin and ancestry for mother and father | Both South Africa |
Language spoken for mother and father | Both english |
Professions for mother and father | Mom - project coordinator (medical field), dad - business owner |
Achievements on an academic level for mother and father | Mom - ND Education, dad - unsure |
Race for mother and father | Both coloured |
Natural hair colour for mother and father | Mom - brown, dad - black |
Eye colour for mother and father | Both brown |
Height for mother and father | Both unsure |
Mother and father build | Both medium |
Any specific defining traits for both parents | None |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 60, dad - 57 |
Health status | Normal |
Please indicate if any twins in your family and the relationship to you | I am a twin and my dad has a twin brother |
Please list any family members who have had cancer including aunts or uncles and on which family side | My maternal aunt, maternal uncle and PGM had cancer. |
Any fertility problems in your family | None |
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? | Diabetes and heart problems (grandpa) |
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 | None |
Any physical deformaties or handicaps? If yes, please state | No |
History of asthma | -1 |
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 | No To Both |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | PGM died of lung cancer |
Current age or age of death | 91 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Heart attack and heart failure |
Current age or age at time of death | 88 and 90 |
Grandfathers' eye colour (maternal and paternal) | Both brown |
Grandmothers' eye colour (maternal and paternal) | Both brown |
Grandfathers' hair colour (maternal and paternal) | Both black |
Grandmothers' hair colour (maternal and paternal) | Both brown |
Health of grandmothers (maternal and paternal) | Normal |
Health of grandfathers (maternal and paternal) | Diabetic and heart |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Coloured |
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 | 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 | Cape Town |
Towns available in which to donate - travel costs will be covered | Cape Town, Stellenbosch |
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 |