S – CF 1975, Cape Town
Generate PDFAvailability status: | Available now in Cape Town |
Race: | Coloured/Mixed Race |
Age: | 34 |
Hair colour: | Curly fine dark brown hair |
Eye colour: | Brown eyes |
Has children: | Yes |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | At least 1.7m., 84kg., olive skin complexion, cleft chin, shoe size 6, chubby cheeks, mole on right lip |
Face shape: | Not Selected |
Other personal information: | South African nationality, Scorpio star sign. Candidate works as a cashier, trying to obtain sponsorship to acquire some training. She is an outgoing person who is loving and adores her son. Light smoker. Reason for donating: I would like to do a selfless deed and help another. |
Reproduction history: | One son and no donations yet. |
What are your views on religion and spirituality, and practiced religion? | Respect for another's views and feelings |
SKU: 25269
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 and afrikaans |
Year of birth | 1989 |
Age | 34 |
Star sign | Scorpio |
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 someone who longs to hav a baby. I want to be selfless an do something good |
How do you best describe yourself? | A pushover, short tempered person with a heart of gold who loves children. |
Relationship status | New relationship |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Olive |
Face shape | Not Selected |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Round Almond |
Height in metres | 1.7m. |
Weight in kilograms | 84kg |
What is your usual or ideal weight? | Ideally 70kg |
Build and body shape | Pear shaped |
Which body part is most sensitive to weight gain or loss? | Stomach and thighs |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Curly |
Hair texture | Fine |
Description of hands and fingers | Long and big, I love my hands |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Cleft chin, shoe size 6, chubby cheeks, mole on right lip |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Unknown |
Siblings physical traits - hair and eye colour, height, weight and build | I am an only child. |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | One one year old son |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Allergies |
Smoker | 0 - 5 per day |
Alcohol consumption per week. | twice a month |
Do you wear glasses? | Never |
How would you rate your sight? | Not excellent but good |
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 | Allergic to 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. | 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? | 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. | None |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | None |
How often do you excercise? | Never |
In which exercises or sports do you partake now? | I dont excercise |
Have you excelled in any sports? | No. |
What sports did you play at school? | None |
Professional and academic information
Occupation | Cashier |
What is your ideal career/ occupation? | I want to be a receptionist |
What are you doing to get to your desired profession in life? | I am trying to obtain a sponsorship to support my training. |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | English, Afrikaans, Biology, Needlework, History, Business Management |
What is the name of any course / degree completed? | None |
Planned studies | Reception |
In what aspects do you have a keen interest? | Unanswered |
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? | Not tested |
Behavioural traits
What is most important in life to you? | My son |
If you had unlimited resources and could save one thing on earth what would it be? | All the homeless children in our area |
What are your views on religion and spirituality, and practiced religion? | Respect for another's views and feelings |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | Reading and watching movies |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | None yet. |
What are your feelings on animal welfare? | I love animals, I especially have a soft spot for dogs. |
Strength and weaknesses | Strength - good listener, weakness - I allow people to walk over me. |
What do others generally think of you? | Im a fun loving person |
Favourite flower | rose dark deep red |
What is your favourite meal? | pasta |
What is your favourite movie? | if only-jennifer love hewwit |
What is your favourite book? | Twighligt |
Who is your favourite actor? | Angelina Jolie |
Who is your favourite actress? | Meryl Streep |
What is your favourite colour? | red |
What is your favourite colour lipstick? | red |
What is your favourite perfume? | be delisious original |
Who is your favourite person? | my son |
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? | More Adventurous |
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 | coloured/mixed race, no further info provided on my mom - she left when I was only a few months old. |
Country of origin and ancestry for mother and father | South Africa |
Language spoken for mother and father | English and Afrikaans |
Professions for mother and father | Dad - own business |
Achievements on an academic level for mother and father | Dad - studied business management |
Race for mother and father | Both coloured |
Natural hair colour for mother and father | dark brown |
Eye colour for mother and father | Dad - brown |
Height for mother and father | |
Mother and father build | Dad - strong build. |
Any specific defining traits for both parents | Dad - sturdy |
Are your parents still alive? | Only my father |
If deceased, cause of death | Not applicable (no further info on my mom available) |
Age (if living, or age deceased) | Dad - 64 |
Health status | Dad - diabetic |
Please indicate if any twins in your family and the relationship to you | My paternal aunt and uncle |
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? | My father and paternal cousin has 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? | 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 | Not Selected |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | No |
Any other comments regaring any health aspects in your family | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Natural causes |
Current age or age of death | 74 |
Grandfathers still alive? | Unanswered |
If deceased, state cause of death | Natural cause |
Current age or age at time of death | In their 70's. |
Grandfathers' eye colour (maternal and paternal) | brown |
Grandmothers' eye colour (maternal and paternal) | green but changes to blue |
Grandfathers' hair colour (maternal and paternal) | black |
Grandmothers' hair colour (maternal and paternal) | light brown |
Health of grandmothers (maternal and paternal) | Unknown |
Health of grandfathers (maternal and paternal) | Unknown |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Unknown |
Any genetic health or psychological concerns worth noting regarding your grandparents | Unknown |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | Unknown |
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 |
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 |