S – JA 4989, Cape Town
Generate PDF| Availability status: | Available in Cape Town and Stellenbosch |
| Race: | Coloured |
| Age: | 22 |
| Hair colour: | Black |
| Eye colour: | Brown |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.65m., 49kg |
| Face shape: | Round |
| Other personal information: | Christian. South African nationality. Candidate is a loving and caring person. Non-smoker. Reason for donating: I would love to help someone. |
| Reproduction history: | No children and no donations yet |
| What are your views on religion and spirituality, and practiced religion? | Christ lover |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Cape Town |
| In which province do you live? | Western Cape |
| Nationality | South African |
| Where were you born? | Cape Town |
| What language(s) do you speak? | English and Afrikaans |
| Year of birth | 2002 |
| Age | 22 |
| Star sign | Virgo |
| 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 would love to help someone |
| Are there any medical or psychological concern areas we should know about? | Not that I am aware of |
| How do you best describe yourself? | Caring person with a slight attitude. Try to help everyone while I'm drowning. |
| Relationship status | Serious relationship |
| Have you donated eggs before? | No |
| If yes, please advise whether you donated through an egg donor agency? | No |
| Were your eggs confirmed good to donate again? | -1 |
Physical profile
| Race | Coloured/ Mixed Race |
| Skin complexion | Brown |
| Face shape | Round |
| Nose shape defined by Wikipedia | Jewish/ Hawk - Thin and sharp |
| Eye shape | Almond |
| Height in metres | 1.65 |
| Weight in kilograms | 49 |
| What is your usual or ideal weight? | 49 |
| Build and body shape | Slender with a slight curve |
| 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 | Coarse |
| Hair texture | medium |
| Description of hands and fingers | Thin long fingers with soft feel |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast size is 32c , size uk5 shoe, no freckles and no dimples |
| Cup size | Unknown |
| Shoe size | Unknown |
| Are you left handed or right handed? | Right handed |
| How many siblings do you have? | 0 |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 0 |
| Fertility issues | No |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Healthy |
| Any current diseases? | No |
| Current health status lifestyle and/ or current diseases | Health |
| Smoker | never smoked |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Since a teen |
| 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 | No |
| 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? | 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. | No |
| How often do you excercise? | When I Get A Chance |
| In which exercises or sports do you partake now? | Pilates |
| Have you excelled in any sports? | Table tennis |
| What sports did you play at school? | Table tennis |
Professional and academic information
| Occupation | Cashier |
| What is your ideal career/ occupation? | Teacher or flight attendant |
| What are you doing to get to your desired profession in life? | Studying |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | Not indicated |
| What is the name of any course / degree completed? | Matric |
| Planned studies | Part time |
| In what aspects do you have a keen interest? | Teaching |
| Would you prefer to read the book or watch the movie? | Watch the Movie |
| Do you know if your IQ was ever tested and the score please? | No |
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? | Vacancies |
| What are your views on religion and spirituality, and practiced religion? | Christ lover |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | No |
| Interests and hobbies | None |
| If you were offered an all-inclusive holiday, what would it be? | A trip to a beach house |
| Which interesting places have you visited? | Hiked up Cecilia forest table mountain |
| What are your feelings on animal welfare? | Love animals |
| Strength and weaknesses | Not indicated |
| What do others generally think of you? | Easy to teach |
| Favourite flower | Tulips |
| What is your favourite meal? | McDonald's chili cheese burger and a chocolate milkshake |
| What is your favourite movie? | Avengers endgame |
| What is your favourite book? | Beauty and the billionaire |
| Who is your favourite actor? | Tom Holland |
| Who is your favourite actress? | Dakota Johnson |
| What is your favourite colour? | Black and yellow and purple and blue |
| What is your favourite colour lipstick? | Nude |
| What is your favourite perfume? | Don't have one |
| Who is your favourite person? | Mother |
| 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? | Bit of Both - depending on Situation |
| Do you prefer indoors or outdoors? | Depending on the Situation |
| Which weather do you prefer? |
Family information of genetic parents
| Nationality for mother and father | South African |
| Country of origin and ancestry for mother and father | Cape Town |
| Language spoken for mother and father | English and Afrikaans |
| Professions for mother and father | Mom - stay at home mom, dad - carpenter |
| Achievements on an academic level for mother and father | Did not complete high school |
| Race for mother and father | Colored |
| Natural hair colour for mother and father | Black |
| Eye colour for mother and father | Brown |
| Height for mother and father | Mom - 1.64m, dad - 1.67m |
| Mother and father build | Mom - curvy, dad - skinny |
| Any specific defining traits for both parents | Mom - high blood pressure, dad - wears glasses |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | 51 |
| Health status | Mom has high blood pressure |
| Any family members who have had cancer including aunts or uncles? | No |
| Any fertility problems in your family | 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 | Only my father |
| Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | No |
| Any other comments regaring any health aspects in your family | None |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | Only PGM |
| If deceased, state cause of death | Diabetes |
| Current age or age of death | Not sure |
| Grandfathers still alive? | Only PGF |
| If deceased, state cause of death | Unknown |
| Current age or age at time of death | Unknown |
| Grandfathers' eye colour (maternal and paternal) | Brown to both |
| Grandmothers' eye colour (maternal and paternal) | Brown to both |
| Grandfathers' hair colour (maternal and paternal) | Black to both |
| Grandmothers' hair colour (maternal and paternal) | Black to both |
| Health of grandmothers (maternal and paternal) | MGM - high blood, PGM - diabetes |
| Health of grandfathers (maternal and paternal) | Healthy |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Coloured |
| Any genetic health or psychological concerns worth noting regarding your grandparents | No |
| Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | No |
Egg donation stipulations
| 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 | Cape Town |
| Towns available in which to donate - travel costs will be covered | Cape Town |
Confirmation
| I have only made myself available as an egg donor with baby2mom. | Yes |
| 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 |
