S – AO 2145, Port Elizabeth
Generate PDFAvailability status: | Available now in Port Elizabeth |
Race: | Coloured |
Age: | 31 |
Hair colour: | Wavy brown hair |
Eye colour: | Dark brown eyes |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.57m., 60kg., average build, 34C breast cup |
Face shape: | Oval |
Other personal information: | South African nationality, of Irish/ Netherlands descent, Aries star sign, Christian. Candidate is very active in sport - is a softball player. She is studying to be a nurse. Non-smoker. She loves children and would love to give someone else the gift of becoming a mother. |
Reproduction history: | No children and no donations yet |
What are your views on religion and spirituality, and practiced religion? | I am a practising Christian |
SKU: 25605
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Port Elizabeth, Eastern Cape |
Nationality | South African |
Where were you born? | Port Elizabeth |
What language(s) do you speak? | English, Afrikaans, Dutch (moderate) |
Year of birth | 1992 |
Age | 31 |
Star sign | Aries |
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? | To grant someone else the gift of becoming a mother. |
How do you best describe yourself? | Very verbal, outspoken but reserved at times. |
Relationship status | Single |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Medium |
Face shape | oval |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Round Almond |
Height in metres | 1,57m |
Weight in kilograms | 60kg |
What is your usual or ideal weight? | 55-60kg |
Build and body shape | Average build |
Which body part is most sensitive to weight gain or loss? | Waist |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Light brown |
Hair type | Wavy |
Hair texture | medium |
Description of hands and fingers | Small hands, average fingers |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | 36C cup, size 5 shoe |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Beth Behre |
Siblings physical traits - hair and eye colour, height, weight and build | Brother - darker skinned, quite tall, grey/ light green eyes; sister - taller than me, curly hair, fair skin complexion, big flat eyes, small mouth |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | None |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Excellent |
Smoker | never smoked |
Alcohol consumption per week. | None |
Do you wear glasses? | Since a teen |
How would you rate your sight? | I wear glasses since 2012 - only for left eye |
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 | Sinus, allergic to cat hair and dust. |
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. | No |
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? | 2014 - wisdom teeth removal, pin in arm when I broke it as a child, appendix removal as a teenager and tonsils removed as a toddler |
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? | Not Selected |
In which exercises or sports do you partake now? | Softball |
Have you excelled in any sports? | No |
What sports did you play at school? | Athletics |
Professional and academic information
Occupation | Au Pair |
What is your ideal career/ occupation? | Foreign Language Educator |
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 | Mechanical and Drawing, Physical Science, Maths, English (C or B), Afrikaans (C or B), Life Orientation (quite well), other grades unknown. |
What is the name of any course / degree completed? | MDOP Draughting Course Completed |
Planned studies | Foreign Language Studies |
In what aspects do you have a keen interest? | Sports, Travelling |
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? |
Behavioural traits
What is most important in life to you? | Family |
If you had unlimited resources and could save one thing on earth what would it be? | Schools and hospitals |
What are your views on religion and spirituality, and practiced religion? | I am a practising Christian |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | Sport and cooking |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | All within South Africa - Cape Town (mostly), Grahamstown, East London |
What are your feelings on animal welfare? | I love animals |
Strength and weaknesses | Strengths - leadership; weaknesses - self confident |
What do others generally think of you? | Good sense of humour, soft hearted, outspoken, clown |
Favourite flower | Water lily |
What is your favourite meal? | Lamb curry with basmati rice |
What is your favourite movie? | Anything animated |
What is your favourite book? | 50 Shades Triology |
Who is your favourite actor? | Robert Pattison |
Who is your favourite actress? | Christian Steward |
What is your favourite colour? | Yellow |
What is your favourite colour lipstick? | Pink |
What is your favourite perfume? | Gucci Rush |
Who is your favourite person? | my godson |
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 started piano from 2014 |
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 | South African |
Country of origin and ancestry for mother and father | Ireland and Netherlands |
Language spoken for mother and father | Afrikaans |
Professions for mother and father | Educators |
Achievements on an academic level for mother and father | Mom - tertiary Degree, dad - factory worker |
Race for mother and father | Both Coloured |
Natural hair colour for mother and father | Brown and black |
Eye colour for mother and father | Both brown |
Height for mother and father | Between 1.62m and 1.65m |
Mother and father build | Both big built |
Any specific defining traits for both parents | Big built |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | 56 and 57 |
Health status | Mom - fine, dad - hypertension and diabetes (only on tablets) |
Please indicate if any twins in your family and the relationship to you | 3 sets of twin cousins - both maternal and paternal |
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 | Far related maternal family had to adopt |
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? | PGF - heart problems, both grandmothers had diabetes |
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 | Paternal cousin is bi polar |
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 | No To Both |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | PGM - heart attack |
Current age or age of death | MGM - 81, PGM - unknown |
Grandfathers still alive? | Only MGF |
If deceased, state cause of death | PGF - heart problems |
Current age or age at time of death | MGF - 81, PGF - unknown (when I was a toddler) |
Grandfathers' eye colour (maternal and paternal) | Both brown |
Grandmothers' eye colour (maternal and paternal) | Brown and light green |
Grandfathers' hair colour (maternal and paternal) | Both brown |
Grandmothers' hair colour (maternal and paternal) | MGM - brown, PGM - light green |
Health of grandmothers (maternal and paternal) | Both diabetes |
Health of grandfathers (maternal and paternal) | MGF - active, PGF - unknown |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Mixed race. Half Indian, half Irish, maternal great grandfather - Irish, paternal great grandmother - Indian, all else coloured. |
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 | 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. | No |
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 |