S – CV 3916, Johannesburg
Generate PDFAvailability status: | Available now in Pretoria and Johannesburg |
Race: | White |
Age: | 3q |
Hair colour: | Brown |
Eye colour: | Brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.65m., 49kg., fair skin, petite build, freckles. |
Face shape: | Round |
Other personal information: | South African nationality, Christian, O+ blood group. Candidate is creative and artistic - she loves music, singing and dancing. She describes herself as organised and professional. She loves animals, is down to earth, fun and has a great sense of humour. Reason for donating: It has always been my dream to become an egg donor. I can remember the warm feeling I felt in my heart when I first found out I was pregnant, it's unbelievable - words can't describe the feeling... then the day my beautiful daughter was born, it was the best day of my entire being. I believe that every woman whom wants to become a mother deserves that feeling. |
Reproduction history: | One daughter and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I am a Christian and believe in Jesus Christ |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Krugersdorp, Gauteng |
Nationality | South African |
Where were you born? | Cape Town |
What language(s) do you speak? | Afrikaans and English |
Year of birth | 1993 |
Age | 31 |
Star sign | Virgo |
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? | It has always been my dream to become an egg donor. I can remember the warm feeling I felt in my heart when I first found out I was pregnant, it's unbelievable - words can't describe the feeling... then the day my beautiful daughter was born, it was the best day of my entire being. I believe that every woman whom wants to become a mother deserves that feeling. |
How do you best describe yourself? | I am a bundle of joy. |
Relationship status | Engaged |
Physical profile
Race | White/ Caucasian |
Skin complexion | Pale |
Face shape | round |
Nose shape defined by Wikipedia | Snub |
Eye shape | Round Almond |
Height in metres | 1.65 |
Weight in kilograms | 49 |
What is your usual or ideal weight? | 50kg. |
Build and body shape | Petite |
Which body part is most sensitive to weight gain or loss? | Middle (stomach) |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Wavy |
Hair texture | medium |
Description of hands and fingers | Small hands and long fingers |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | I have freckles on my face, size 4 or 5 shoe, dimples, size 32A cup. |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Selina Gomez |
Siblings physical traits - hair and eye colour, height, weight and build | I have 3 siblings - #1 brown hair, brown eyes (weight and height unknown); #2 red hair, blue eyes, 1.58m., 48kg., small build; #3 ash blonde hair, blue eyes, medium build (weight and height unknown) |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | 1 daughter born 2015 |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Good health |
Smoker | 5 - 10 per day |
Alcohol consumption per week. | None |
Do you wear glasses? | Never |
How would you rate your sight? | Excellent |
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? | Low blood pressure |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | Penicillin and sulphas |
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? | No |
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? | Ganglion cyst removed in left hand, endometriosis removed and incisional hernia repair |
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? | None at the moment |
Have you excelled in any sports? | Yes, High Jump |
What sports did you play at school? | High jump and long distance running |
Professional and academic information
Occupation | Sales Assistant |
What is your ideal career/ occupation? | Sales Assistant Manager |
What are you doing to get to your desired profession in life? | Ensuring that I do my best to complete my work and have a satisfied customer |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Afr (50/60) Eng (40/50), Maths Lit (86), LO (79), Tourism (60/70), Art (60/70), Hospitality (60/70) - |
What is the name of any course / degree completed? | N/A |
Planned studies | None |
In what aspects do you have a keen interest? | |
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? | Not sure |
Behavioural traits
What is most important in life to you? | Being on time |
If you had unlimited resources and could save one thing on earth what would it be? | Rescued animals |
What are your views on religion and spirituality, and practiced religion? | I am a Christian and believe in Jesus Christ |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | |
Interests and hobbies | Drawing, singing, dancing and any DIY |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Only been to Cape Town and Durban |
What are your feelings on animal welfare? | I care a lot about animals and would do all I can to care and protect them |
Strength and weaknesses | Strength - organised, professional, punctual; weakness - soft hearted |
What do others generally think of you? | I am friendly and caring, but also weak (soft-hearted) |
Favourite flower | Yellow rose |
What is your favourite meal? | Pasta |
What is your favourite movie? | Beauty and the Beast |
What is your favourite book? | Fire Proof |
Who is your favourite actor? | Charlie Sheen |
Who is your favourite actress? | Jenifer Love Hewit |
What is your favourite colour? | Black / Purple |
What is your favourite colour lipstick? | None |
What is your favourite perfume? | Gorgeous in Black |
Who is your favourite person? | My daughter - she is still so young and innocent - caring and joyful and she brings the best out of me |
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 love singing |
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 | 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 | Dad - mechanic |
Achievements on an academic level for mother and father | Both matric |
Race for mother and father | Both white |
Natural hair colour for mother and father | Mom - brown, dad - red |
Eye colour for mother and father | Mom - brown, dad - blue/ grey/ green |
Height for mother and father | Unknown |
Mother and father build | Mom - short and medium, dad - tall and slim |
Any specific defining traits for both parents | Mom - loveable, caring, artistic, loves cooking, dad - outgoing |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | 61 |
Health status | Good |
Please indicate if any twins in your family and the relationship to you | None indicated |
Please list any family members who have had cancer including aunts or uncles and on which family side | PGF - colon cancer |
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 - high blood pressure, paternal uncle - diabetic, paternal uncle - cardiac Stent |
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 | -1 |
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 | Only my father |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | MGM - stroke, PGM - emphysema |
Current age or age of death | MGM - 63, PGM - 84 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | MGF - water on lungs, PGF - colon cancer |
Current age or age at time of death | MGF - 72, PGF - unknown |
Grandfathers' eye colour (maternal and paternal) | MGF - brown, PGF - blue/ green |
Grandmothers' eye colour (maternal and paternal) | MGM - brown, PGM - blue |
Grandfathers' hair colour (maternal and paternal) | Both brown |
Grandmothers' hair colour (maternal and paternal) | MGM - brown, PGM - red |
Health of grandmothers (maternal and paternal) | Good |
Health of grandfathers (maternal and paternal) | MGF - good, PGF - colon cancer |
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 | 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 | Johannesburg |
Towns available in which to donate - travel costs will be covered | Johannesburg, Pretoria |
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 |