S - CM 3173, Free State

S – CM 3173, Free State

Availability status:	Available now in Johannesburg and Pretoria - travel costs
Race:	African/ Black
Age:	28
Hair colour:	Black
Eye colour:	Brown
Has children:	No
Proven donor	No
Post matric studies:	Yes
Other physical information:	1.59m., 58kg.
Face shape:	Oval
Other personal information:	Zimbabwean nationality, Christian. Candidate is employed as an accountant. Non-smoker. Reason for donating: My cousin who divorced his wife because she could not conceive after 10 years of marriage. I saw their pain especially his ex's pain. I would like to help people who are struggling to conceive.
Reproduction history:	No children and no donations as yet.
What are your views on religion and spirituality, and practiced religion?	I'm a Christian

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Category: Active Donor

Additional donor information

Initial information

Physical profile

Reproductive information

Health of egg donor

Are you a twin?	No
Are you adopted?	No
Current health status lifestyle and/ or current diseases	None
Smoker	never smoked
Alcohol consumption per week.	Once a month
Do you wear glasses?	Never
How would you rate your sight?	Good
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	Fish
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.	None
Have you ever been addicted to any substances?	Not Selected
Have you partaken in any recreational drugs had tattoos or piercings in the last six months? Please explain.	No
Details of any operations?
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?	A few times a week
In which exercises or sports do you partake now?	Volleyball & swimming
Have you excelled in any sports?	High school athletics & volleyball
What sports did you play at school?	Volleyball

Professional and academic information

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?	Water and air from pollution
What are your views on religion and spirituality, and practiced religion?	I'm a Christian
Childhood religion?	Methodist
Any specific achievements or aspects of recognition in your family
Interests and hobbies	Reading, sport and traveling
What is your preferred holiday?
If you were offered an all-inclusive holiday, what would it be?
Which interesting places have you visited?	Victoria Falls, Drankensburg mountains
What are your feelings on animal welfare?
Strength and weaknesses	Strengths - excellent math skills; weakness - emotional
What do others generally think of you?	I am an introvert
Favourite flower	Why pick one
What is your favourite meal?	Greek salad
What is your favourite movie?	Rango
What is your favourite book?	Rage of angels
Who is your favourite actor?
Who is your favourite actress?	Angelina Jolie
What is your favourite colour?
What is your favourite colour lipstick?
What is your favourite perfume?
Who is your favourite person?
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?	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	Both Zimbabweans
Country of origin and ancestry for mother and father	Zimbabwe
Language spoken for mother and father	Isindebele Chishona and English
Professions for mother and father	Mom - stylist, dad - clerk
Achievements on an academic level for mother and father	Mother - O level Father - certificate
Race for mother and father	African black
Natural hair colour for mother and father	Both black
Eye colour for mother and father	Both brown
Height for mother and father	Mom - 1.78m., dad - 1.76m.
Mother and father build	Meduim
Any specific defining traits for both parents	None
Are your parents still alive?	No To Both
If deceased, cause of death	Both car accident
Age (if living, or age deceased)
Health status	Not applicable
Please indicate if any twins in your family and the relationship to you	Paternal uncles
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?	Yes
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	No
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	MGM - 78, PGM - 56
Grandfathers still alive?	Only PGF
If deceased, state cause of death	MGF - unknown
Current age or age at time of death	Unknown
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 black
Health of grandmothers (maternal and paternal)	Both good
Health of grandfathers (maternal and paternal)	PGM good
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents	None
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

Confirmation

In which town and province do you live?	Free State
Nationality	Zimbabwean
Where were you born?	Zimbabwe
What language(s) do you speak?	English and Shona
Year of birth	1991
Age	28
Star sign	Cancer
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?	My cousin who divorced his wife because she could not conceive after 10 years of marriage. I saw their pain especially his ex's pain. I would like to help people who are struggling to conceive.
How do you best describe yourself?	Family, loving and empathetic
Relationship status	Serious relationship

Race	Black/African
Skin complexion	Fair
Face shape	oval
Nose shape defined by Wikipedia	Snub
Eye shape	Round Almond
Height in metres	1.6m.
Weight in kilograms	58kg.
What is your usual or ideal weight?	59kg.
Build and body shape	Short
Which body part is most sensitive to weight gain or loss?	Stomach
Eye colour	Brown
Natural hair colour	Black
Hair colour as a child	Black
Hair type	Afro
Hair texture	Thick
Description of hands and fingers	Short hands and fingers
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc	32D breast cup, size 5 shoe.
Are you left handed or right handed?	Ambidextrous
With celebrity do you most resemble - physically?
Siblings physical traits - hair and eye colour, height, weight and build	No siblings

Occupation	Accountant
What is your ideal career/ occupation?	Chartered accountant
What are you doing to get to your desired profession in life?	Studying
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?	Accounting
Planned studies	ACCA qualification
In what aspects do you have a keen interest?	Financial management
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

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

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

Donor profiles

S – CM 3173, Free State

Additional donor information