S – DK 3315, Fochville
Generate PDFAvailability status: | Available now in Pretoria |
Race: | White |
Age: | 27 |
Hair colour: | Blonde |
Eye colour: | Blue |
Has children: | Yes |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.68m., around 65kg., fairly fit and athletic. |
Face shape: | Triangular |
Other personal information: | South African nationality, 0- blood group. Candidate has a very strong and outgoing personality. She is studying business and has always had a very active, outgoing and competitive personality. One smoke monthly. Reason for donating: I want to be a donor because there is no love that compares to the love a child teaches you and brings you, I have a son of my own and the joy he gives me on a daily, I think every woman deserves that feeling. |
Reproduction history: | One son born 2017 and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | None |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Fochville, Gauteng |
Nationality | South African |
Where were you born? | Fochville |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 1997 |
Age | 27 |
Star sign | Aries |
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 want to be a donor because there is no love that compares to the love a child teaches you and brings you, I have a son of my own and the joy he gives me on a daily, I think every woman deserves that feeling. |
How do you best describe yourself? | I'm very out going, I like challenges and I'm very considered towards people, I do have a strong personality but a soft heart. |
Relationship status | Single |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | rectangular |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Round |
Height in metres | 1.68 |
Weight in kilograms | 65 |
What is your usual or ideal weight? | 66kg - 68kg |
Build and body shape | Athletic |
Which body part is most sensitive to weight gain or loss? | My belly |
Eye colour | Blue |
Natural hair colour | Blonde |
Hair colour as a child | Blonde |
Hair type | Straight |
Hair texture | Fine |
Description of hands and fingers | My hands are big and my fingers are long and fine. |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | My breast cup size is 36C, my shoe size is a 7 to a 8. |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | |
Siblings physical traits - hair and eye colour, height, weight and build | Both my brothers is build quite athletic, they have thick dark hair and hazel brown eyes. |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | One son born 2017 |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | None |
Smoker | Ex-smoker |
Alcohol consumption per week. | Once a month. |
Do you wear glasses? | Never |
How would you rate your sight? | |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Mild acne as a teenager |
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 of which I am aware |
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 | Yes - Mild |
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? | 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. | No |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | Low fat |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | I try to do my half and hour to an hour cardio daily at this stage. |
Have you excelled in any sports? | In school yes |
What sports did you play at school? | Athletics (short distance runner), netball, hockey and woman's rugby |
Professional and academic information
Occupation | Studying |
What is your ideal career/ occupation? | Business management |
What are you doing to get to your desired profession in life? | At this moment I'm studying business |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Good |
What is the name of any course / degree completed? | None at this stage |
Planned studies | Degree in business |
In what aspects do you have a keen interest? | Debates |
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? |
Behavioural traits
What is most important in life to you? | My child and to further my studies. |
If you had unlimited resources and could save one thing on earth what would it be? | My child |
What are your views on religion and spirituality, and practiced religion? | None |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | No |
Interests and hobbies | I like reading and listening to audio books |
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 |
Strength and weaknesses | |
What do others generally think of you? | Usually people tell me my personality come off very strong but when they get to know me I'm playful and funny. |
Favourite flower | Red rose |
What is your favourite meal? | Anything with pasta |
What is your favourite movie? | Titanic |
What is your favourite book? | Anything Steven King wrote |
Who is your favourite actor? | N/A |
Who is your favourite actress? | N/A |
What is your favourite colour? | Purple |
What is your favourite colour lipstick? | Red |
What is your favourite perfume? | Far away |
Who is your favourite person? | My son |
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? | No |
Are you more cultural or more adventurous? | More Adventurous |
Do you prefer indoors or outdoors? | Indoors |
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 African |
Language spoken for mother and father | Mom - English, dad - Afrikaans |
Professions for mother and father | Mom - stay at home mom, dad - mining manager |
Achievements on an academic level for mother and father | |
Race for mother and father | Both white |
Natural hair colour for mother and father | Mom - dark brown, dad - blonde |
Eye colour for mother and father | Mom - hazel brown, dad - blue |
Height for mother and father | Unknown |
Mother and father build | Unknown |
Any specific defining traits for both parents | None |
Are your parents still alive? | Only my father |
If deceased, cause of death | Mom - unhealthy because of weight which potentially caused diabetes and high blood pressure (no other cases of such family concerns) |
Age (if living, or age deceased) | Mom - deceased at 37, dad - 57 |
Health status | Mom - deceased, dad - in good health condition |
Please indicate if any twins in your family and the relationship to you | No twins |
Please list any family members who have had cancer including aunts or uncles and on which family side | None of which I am aware |
Any fertility problems in your family | None of which I am aware |
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? | None of which I am aware |
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 of which I am aware |
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 of which I am aware |
Any physical deformaties or handicaps? If yes, please state | None |
History of asthma | Only my mother |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | None of which I am aware |
Any other comments regaring any health aspects in your family | None |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Old age |
Current age or age of death | Unsure |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Old age |
Current age or age at time of death | Unsure |
Grandfathers' eye colour (maternal and paternal) | Blue and brown |
Grandmothers' eye colour (maternal and paternal) | Both blue |
Grandfathers' hair colour (maternal and paternal) | Unknown |
Grandmothers' hair colour (maternal and paternal) | Unknown |
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 | 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'd like to have information about the person I'll donate to. |
Preferred town to donate | Pretoria |
Towns available in which to donate - travel costs will be covered | 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 |