A – AS 3248, Pretoria
Generate PDFAvailability status: | Available now in Pretoria and Johannesburg |
Race: | White |
Age: | 32 |
Hair colour: | Dark brown |
Eye colour: | Green |
Has children: | Yes |
Proven donor | Yes |
Post matric studies: | Yes |
Other physical information: | 1.7m., 60kg., sporty, slim fingers and feet |
Face shape: | Heart |
Other personal information: | South African nationality, O+ blood group, Christian. Candidate is a professional business owner. Non-smoker. Reason for donating: I have recently been diagnosed with hyper fertility. I would like to share this blessing that I have received with another mommy so she can also experience the miracle of child birth. |
Reproduction history: | Two sons born 2011 and 2018 and proven egg donor resulting in pregnancies in all donations. Donor eggs available to Christians. |
What are your views on religion and spirituality, and practiced religion? | I am a born again Christian |
Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | Pretoria, Gauteng |
Nationality | White |
Where were you born? | Mpumalanga |
What language(s) do you speak? | Afrikaans and English |
Year of birth | 1989 |
Age | 32 |
Star sign | Taurus |
Blood group (if known) | O+ |
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 share the blessing i have been given to be hyper fertile with a mommy. |
How do you best describe yourself? | I am an outspoken, friendly, bubbly person. I communicate well with others and can spark up a conversation with anyone. I am very healthy. I almost never get sick. I love meeting new people. |
Relationship status | Married |
Physical profile
Race | White/ Caucasian |
Skin complexion | Tanned |
Face shape | heart |
Nose shape defined by Wikipedia | Snub |
Eye shape | Almond |
Height in metres | 1.7m. |
Weight in kilograms | 60kg. |
What is your usual or ideal weight? | 57kg. |
Build and body shape | Slender sporty build |
Which body part is most sensitive to weight gain or loss? | Stomach |
Eye colour | Green |
Natural hair colour | Brown |
Hair colour as a child | Black at birth |
Hair type | Curly |
Hair texture | Fine |
Description of hands and fingers | Long slender hands and fingers, thin narrow feet |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Size 6 shoe, 34B bra cup, freckles on face |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Katy holmes |
Siblings physical traits - hair and eye colour, height, weight and build | Two sisters - they both have light brown/ blonde hair with green eyes, shorter and stockier build then myself. |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | Two children born 2011 and 2018 |
Fertility issues | Diagnosed with hyper fertility |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Very healthy |
Smoker | Ex-smoker |
Alcohol consumption per week. | 0 |
Do you wear glasses? | Never |
How would you rate your sight? | 100% |
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 | 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? | 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. | No |
Details of any operations? | Foot operation 2002 |
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? | When I Get A Chance |
In which exercises or sports do you partake now? | Gym at home |
Have you excelled in any sports? | None |
What sports did you play at school? | Tennis and baseball |
Professional and academic information
Occupation | Business owner |
What is your ideal career/ occupation? | Business owner |
What are you doing to get to your desired profession in life? | I already have my desired possition |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Afrikaans 70, English 80%, Math 40%, Home Economics 70%, Art 60%, Biology 70 |
What is the name of any course / degree completed? | Degree in Somotology |
Planned studies | None |
In what aspects do you have a keen interest? | Art and crafts, beauty, baking |
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 |
Behavioural traits
What is most important in life to you? | My family |
If you had unlimited resources and could save one thing on earth what would it be? | Fresh water |
What are your views on religion and spirituality, and practiced religion? | I am a born again Christian |
Childhood religion? | Raised christian |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | Baking, sewing, croqueting |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Rome |
What are your feelings on animal welfare? | I love animals |
Strength and weaknesses | Strength - very friendly, weakness - impatience |
What do others generally think of you? | I am very loveable |
Favourite flower | Multicoloured roses |
What is your favourite meal? | Sushi |
What is your favourite movie? | The notebook |
What is your favourite book? | The Bible |
Who is your favourite actor? | Ashton Kutcher |
Who is your favourite actress? | Reese Witherspoon |
What is your favourite colour? | Dusty pink |
What is your favourite colour lipstick? | Plum |
What is your favourite perfume? | DKNY green |
Who is your favourite person? | My boys |
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? | 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 Afrikaans |
Professions for mother and father | Mom - nurse, dad - Electrican engineer |
Achievements on an academic level for mother and father | Mom - registered nurse, dad - engineer |
Race for mother and father | Both white |
Natural hair colour for mother and father | Both dark brown |
Eye colour for mother and father | Mom - green, dad - blue |
Height for mother and father | Mom - 1.78m., dad - 1.68m. |
Mother and father build | Mom - tall athletic build, dad - rugby player build: short and stocky |
Any specific defining traits for both parents | Mom - outspoken and loud, dad - introverted and quite |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 58, dad - 61 |
Health status | Mom - type 1 diabetes, dad - blood pressure problems |
Please indicate if any twins in your family and the relationship to you | None |
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 | 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? | Mom has type 1 diabetes, dad has high blood pressure |
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 | None |
History of asthma | No to Both |
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? | Yes to Both |
If deceased, state cause of death | Not applicable |
Current age or age of death | 82 and 91 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Heart attack and emphysema due to working in a mine |
Current age or age at time of death | 75 and 86 |
Grandfathers' eye colour (maternal and paternal) | Blue and green |
Grandmothers' eye colour (maternal and paternal) | Blue, Blue |
Grandfathers' hair colour (maternal and paternal) | Both dark brown |
Grandmothers' hair colour (maternal and paternal) | Light brown and black |
Health of grandmothers (maternal and paternal) | Both good health |
Health of grandfathers (maternal and paternal) | Both deceased |
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 | I would like to only donate to Christians |
Preferred town to donate | Pretoria |
Towns available in which to donate - travel costs will be covered |
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 |