S – BS 4886, Krugersdorp
Generate PDF| Availability status: | Available now in Johannesburg and Pretoria |
| Race: | Black/African |
| Age: | 32 |
| Hair colour: | Black |
| Eye colour: | Brown |
| Has children: | Yes |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 2m., 88kg., fit build. |
| Face shape: | Round |
| Other personal information: | Christian, South African nationality. Candidate enjoys reading. Non-smoker. Reason for donating: I would like to help ladies become moms. |
| Reproduction history: | Two children and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | God is every thing |
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Category: Active Donor
Additional donor information
Initial information
| In which town and province do you live? | Kagiso /krugesdorp |
| Nationality | South African |
| Where were you born? | Baragwanath Ηospital |
| What language(s) do you speak? | Zulu |
| Year of birth | 1992 |
| Age | 32 |
| Star sign | Aquαrius |
| 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? | I want to help other women to become mothers and cherish that time. |
| How do you best describe yourself? | I have a very big heart, I care too much and I understand other people’s problems as if they were mine. |
| Relationship status | Single |
Physical profile
| Race | Black/African |
| Skin complexion | Brown |
| Face shape | round |
| Nose shape defined by Wikipedia | Snub |
| Eye shape | Round Almond |
| Height in metres | 2 |
| Weight in kilograms | 88 |
| What is your usual or ideal weight? | 72 |
| Build and body shape | Fit |
| Which body part is most sensitive to weight gain or loss? | Thighs |
| Eye colour | Brown |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Afro |
| Hair texture | medium |
| Description of hands and fingers | Small and chubby |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Queenlatifa |
| How many siblings do you have? | -1 |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 2 |
| Child 1 Date of Birth | 11 |
| Child 2 Date of Birth | 7 |
| Fertility issues | None |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Current health status lifestyle and/ or current diseases | |
| Smoker | never smoked |
| Alcohol consumption per week. | 1_drink |
| Do you wear glasses? | Never |
| How would you rate your sight? | 10 |
| 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 | 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. | no |
| Any physical handicaps or deformaties? If yes, please state. | no |
| 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. | Non |
| 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? | Childbirth |
| 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. | no |
| How often do you excercise? | When I Get A Chance |
| In which exercises or sports do you partake now? | Just jogging for now |
| Have you excelled in any sports? | High jump in primary, karate and lady’s soccer in high school |
| What sports did you play at school? | High jump, karate, soccer |
Professional and academic information
| Occupation | Currently unemplyed |
| What is your ideal career/ occupation? | Forensic |
| What are you doing to get to your desired profession in life? | Applying |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | English, Life Sciences, Life Orientation, Physics |
| What is the name of any course / degree completed? | |
| Planned studies | Forensics |
| In what aspects do you have a keen interest? | Working on my self always becoming a better person |
| 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? | Beliving in God |
| If you had unlimited resources and could save one thing on earth what would it be? | My children |
| What are your views on religion and spirituality, and practiced religion? | God is every thing |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | |
| Interests and hobbies | Reading |
| What is your preferred holiday? | beach |
| If you were offered an all-inclusive holiday, what would it be? | |
| Which interesting places have you visited? | Zimbambwe Church camp meeting |
| What are your feelings on animal welfare? | I love animals: cats and dogs |
| Strength and weaknesses | Strength - my energy, weaknesses - I love too easy |
| What do others generally think of you? | I love my space |
| Favourite flower | I love them all |
| What is your favourite meal? | I eat everything |
| What is your favourite movie? | 13 going on 40 |
| What is your favourite book? | Forgive forget and love |
| Who is your favourite actor? | |
| Who is your favourite actress? | Jenna wakes |
| What is your favourite colour? | Pink |
| What is your favourite colour lipstick? | Rubby red |
| What is your favourite perfume? | Givenchy |
| Who is your favourite person? | My kids |
| 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 have a beautiful voice and played a violin |
| Are you more cultural or more adventurous? | More Adventurous |
| Do you prefer indoors or outdoors? | Indoors |
| Which weather do you prefer? | rain |
| Are you more creative or analytical? | creative |
Family information of genetic parents
| Nationality for mother and father | Both South African |
| Country of origin and ancestry for mother and father | Both South african |
| Language spoken for mother and father | Zulu |
| Professions for mother and father | Nurse and owned a small farming businnes |
| Achievements on an academic level for mother and father | Mom - level 6, dad - level 4 |
| Race for mother and father | Zulu |
| Natural hair colour for mother and father | Both black |
| Eye colour for mother and father | Both brown |
| Height for mother and father | |
| Mother and father build | Fit and tall but I took my granny’s height |
| Any specific defining traits for both parents | Both light brown skin |
| Are your parents still alive? | No To Both |
| If deceased, cause of death | Mom - poisoned, dad - car accident |
| Age (if living, or age deceased) | Mom - 32, dad - 40 |
| Health status | Very good |
| 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 | No |
| Any fertility problems in your family | Nom my aunt has 10 children |
| 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, I hardly get ill |
| 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 | Not indicated |
| Grandfathers still alive? | Yes to Both |
| If deceased, state cause of death | Not applicable |
| Current age or age at time of death | Not indicated |
| Grandfathers' eye colour (maternal and paternal) | Black |
| Grandmothers' eye colour (maternal and paternal) | Brown |
| Grandfathers' hair colour (maternal and paternal) | Black but gray now |
| Grandmothers' hair colour (maternal and paternal) | Black |
| Health of grandmothers (maternal and paternal) | Very good grany is 66 but still working |
| Health of grandfathers (maternal and paternal) | Also good |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Granny half indian grand father a zuluman |
| 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 | No |
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 | Johannesburg |
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 |
