A - IM 4035, Kempton Park

A – IM 4035, Kempton Park

Availability status:	Available now in Johannesburg and Pretoria
Race:	Black
Age:	23
Hair colour:	Black
Eye colour:	Black
Has children:	No
Proven donor	Yes
Post matric studies:	No
Other physical information:	1.59m., 70kg.
Face shape:	Round
Other personal information:	South African nationality, O+ blood group, Christian. Candidate is studying a B Com. Non-smoker. Reason for donating: I want to try to help a family that is trying to conceive, I am here to help and open to the experience.
Reproduction history:	No children and proven donor.
What are your views on religion and spirituality, and practiced religion?	I am a spiritual person, have a personal relationship with God

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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	I’m healthy and exercise regularly.
Smoker	Ex-smoker
Alcohol consumption per week.	Once to never
Do you wear glasses?	Since a teen
How would you rate your sight?	Short sighted 5/10
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	None indicated
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 indicated
Any physical handicaps or deformaties? If yes, please state.	None indicated
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 indicated
History of asthma	No
Indicate any medication you are taking and reason for it.	None indicated
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 indicated
Details of any operations?	None indicted
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 indicated
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc.
How often do you excercise?	Daily
In which exercises or sports do you partake now?
Have you excelled in any sports?	Yes
What sports did you play at school?	Volleyball

Professional and academic information

Behavioural traits

What is most important in life to you?	What’s important in life is to fulfill my purpose and help others
If you had unlimited resources and could save one thing on earth what would it be?	Animals that are about to be instinct
What are your views on religion and spirituality, and practiced religion?	I am a spiritual person, have a personal relationship with God
Childhood religion?	Christian
Any specific achievements or aspects of recognition in your family	My grandfather was a principal
Interests and hobbies	Love cooking, exercising and reading
What is your preferred holiday?
If you were offered an all-inclusive holiday, what would it be?
Which interesting places have you visited?	Durban, Kruger National park
What are your feelings on animal welfare?	They deserve the best possible care they can get
Strength and weaknesses	Strength - I work well under pressure, smart, quick thinker; weaknesses - I’m short tempered
What do others generally think of you?	As a bubbly, outgoing person
Favourite flower	Tulip
What is your favourite meal?	Prawn pasta
What is your favourite movie?	Black panther
What is your favourite book?	Men are from Mars, Women are from Venus
Who is your favourite actor?	James Bond
Who is your favourite actress?	Jeniffer Lopez
What is your favourite colour?	White
What is your favourite colour lipstick?	Red
What is your favourite perfume?	Gourmand Addict, Zara
Who is your favourite person?	My mom
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?	Musical
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 Black
Country of origin and ancestry for mother and father	South Africa
Language spoken for mother and father	Tsonga
Professions for mother and father	Nurse and Teacher
Achievements on an academic level for mother and father	Nurse and teacher
Race for mother and father	Both black
Natural hair colour for mother and father	Brown and black
Eye colour for mother and father	Both black
Height for mother and father	1.61m. and unknown
Mother and father build	Endomorph
Any specific defining traits for both parents	My mom is curvy and small bust
Are your parents still alive?	Yes to Both
If deceased, cause of death	Not applicable
Age (if living, or age deceased)	60 and 65
Health status	Healthy
Please indicate if any twins in your family and the relationship to you	My cousins are twins
Please list any family members who have had cancer including aunts or uncles and on which family side	None indicated
Any fertility problems in your family	None indicated
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	-1
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain	None indicated
Any other comments regaring any health aspects in your family	None indicated
Alcoholism / substance abuse	No To Both
Grandmothers still alive?	Only MGM
If deceased, state cause of death
Current age or age of death	85
Grandfathers still alive?	No to Both
If deceased, state cause of death	Health issues
Current age or age at time of death	85
Grandfathers' eye colour (maternal and paternal)	Black
Grandmothers' eye colour (maternal and paternal)	Black
Grandfathers' hair colour (maternal and paternal)	Black
Grandmothers' hair colour (maternal and paternal)	Black
Health of grandmothers (maternal and paternal)	Fairly healthy
Health of grandfathers (maternal and paternal)
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents	All black
Any genetic health or psychological concerns worth noting regarding your grandparents	None indicated
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns	None indicated

Egg donation stipulations

Confirmation

In which town and province do you live?	Bloemfontein, Free State
Nationality	South African
Where were you born?	Limpopo
What language(s) do you speak?	Tsonga, English, Sotho, Zulu and little bit of Afrikaans
Year of birth	2000
Age	23
Star sign	Cancer
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 try to help a family that is trying to conceive, I am here to help and open to the experience.
How do you best describe yourself?	Very bubbly, conservative and I’m an extrovert. I am smart too
Relationship status	Single

Race	Black/African
Skin complexion	Brown
Face shape	round
Nose shape defined by Wikipedia	African - wide nostrilled nose
Eye shape	Round
Height in metres	1.59
Weight in kilograms	70
What is your usual or ideal weight?	65kg.
Build and body shape	I’m an endomorph
Which body part is most sensitive to weight gain or loss?	Thighs and face
Eye colour	Black
Natural hair colour	Black
Hair colour as a child	Black
Hair type	Afro
Hair texture	Thick
Description of hands and fingers	I have got chubby short fingers. My nail colour is white
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc	Breast cup size C, size 4/5
Are you left handed or right handed?	Right handed
With celebrity do you most resemble - physically?
How many siblings do you have?

Are you a virgin?	No
Ever miscarried?	No
No. of children
Fertility issues	None indicated

Occupation	Student
What is your ideal career/ occupation?	Chatered Financial Analyst
What are you doing to get to your desired profession in life?	Studying Bcom Economics
Do you have a matric and university exemption?	Only Matric
Subjects and grades or marks at school	Fairly good
What is the name of any course / degree completed?	Bcom Economics
Planned studies
In what aspects do you have a keen interest?	Cooking, Political affairs
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?	No

Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate	No
Preferred town to donate	Pretoria
Towns available in which to donate - travel costs will be covered	Johannesburg, Pretoria

I have only made myself available as an egg donor with baby2mom.	Yes
Please advise any specific donation criteria other than those mentioned	Preference to donate in Bloemfontein
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

A – IM 4035, Kempton Park

Additional donor information