S – JV 4906, Port Elizabeth
Generate PDFAvailability status: | Available now in Port Elizabeth |
Race: | Coloured |
Age: | 25 |
Hair colour: | Brown |
Eye colour: | Hazel |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.52m., 54kg. |
Face shape: | Round |
Other personal information: | Christian, South African nationality. Candidate is employed as a retail manager. Non-smoker. Reason for donating: I would love to help those who so eagerly desire to have children of their own, and as a mother myself I know the void that a child can fill. |
Reproduction history: | Two daughters and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I personally am a Christian and very involved in my church works, I am a Sunday school teacher and a member of the choir |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Port Elizabeth |
Nationality | South African |
Where were you born? | South Africa, Port Elizabeth |
What language(s) do you speak? | English, Afrikaans |
Year of birth | 1999 |
Age | 25 |
Star sign | Pisces |
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 those who so eagerly desire to have children of their own, and as a mother myself I know the void that a child can fill. |
How do you best describe yourself? | I'm a very down to earth type of person, I communicate extremely well, I'm definitely a team player, and I simply love peo0le in general |
Relationship status | Engaged |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Fair |
Face shape | round |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Round Almond |
Height in metres | 1.52 |
Weight in kilograms | 54 |
What is your usual or ideal weight? | 50 |
Build and body shape | Petite |
Which body part is most sensitive to weight gain or loss? | Belly |
Eye colour | Hazel |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Frizzy |
Hair texture | medium |
Description of hands and fingers | My fingers are what you'd call a pianists fingers, nails are rounded at the beds and slightly straight to the tips. |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Ariana Grande |
How many siblings do you have? | 1 |
Sibling 1 Hair Colour | Black |
Sibling 1 Eye Colour | Hazel |
Sibling 1 Build | Big boned |
Sibling 2 Hair Colour | Brown |
Sibling 2 Eye Colour | Brown |
Sibling 2 Build | Average |
Sibling 3 Hair Colour | Blonde |
Sibling 3 Eye Colour | Hazel |
Sibling 4 Hair Colour | Brown |
Sibling 4 Eye Colour | Blue |
Sibling 5 Hair Colour | Blonde |
Sibling 5 Eye Colour | Hazel |
Sibling 6 Hair Colour | Black |
Sibling 6 Eye Colour | Brown |
Sibling 7 Hair Colour | Black |
Sibling 7 Eye Colour | Brown |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | 2 |
Child 1 Date of Birth | 8 |
Child 2 Date of Birth | 3 |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | |
Smoker | Ex-smoker |
Alcohol consumption per week. | 5_drinks |
Do you wear glasses? | Since childhood |
How would you rate your sight? | 7 |
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. | yes |
Details of any operations? | C-section ×2 |
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? | I go to the gym about twice a week |
Have you excelled in any sports? | Athletics |
What sports did you play at school? | Netball, athletics |
Professional and academic information
Occupation | Retail manager |
What is your ideal career/ occupation? | To do whatever makes you happy |
What are you doing to get to your desired profession in life? | Currently I am happy with the work that I'm doing |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Afrikaans FAL, English home language, Mathematics Literacy, Life Skills, Computer Literacy, Business Administration |
What is the name of any course / degree completed? | |
Planned studies | None so far |
In what aspects do you have a keen interest? | In the beauty industry |
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 |
Behavioural traits
What is most important in life to you? | My children |
If you had unlimited resources and could save one thing on earth what would it be? | The human race |
What are your views on religion and spirituality, and practiced religion? | I personally am a Christian and very involved in my church works, I am a Sunday school teacher and a member of the choir |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | My family Has 4 registered nurses, 1 advocate and one police officer still in training |
Interests and hobbies | I love reading, watching movies and spending time with my kids and fiancé |
What is your preferred holiday? | international |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Museums, planetarium and the theme park |
What are your feelings on animal welfare? | I love animals even though I don't have any as my children has allergies |
Strength and weaknesses | Strength - It's also the little things in life that makes me happy, weakness - little things hurt me |
What do others generally think of you? | They think I'm the most chirpiests happiest person around. |
Favourite flower | Rose |
What is your favourite meal? | Any seafood |
What is your favourite movie? | Happiness Is.... |
What is your favourite book? | Anything written by Ena Murray |
Who is your favourite actor? | Vin Diesel |
Who is your favourite actress? | Angelina Jolie |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | Burgundy |
What is your favourite perfume? | Coppelia |
Who is your favourite person? | My mother |
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? | Violin |
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? | -1 |
Are you more creative or analytical? | analytical |
Family information of genetic parents
Nationality for mother and father | South African |
Country of origin and ancestry for mother and father | South Africa |
Language spoken for mother and father | English and Afrikaans |
Professions for mother and father | Mom - machine operator for a motor vehicle company, dad - code 14 truck driver |
Achievements on an academic level for mother and father | Matric and some short courses |
Race for mother and father | Both Coloured |
Natural hair colour for mother and father | Mom - black, dad - brown |
Eye colour for mother and father | Mom - brown, dad - green |
Height for mother and father | 1.61 and 1.83 |
Mother and father build | Mom - average, dad - little bigger than average |
Any specific defining traits for both parents | Mom - brown skin with the perfect straight nose, dad - beautiful brown curly hair |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 56, dad - 60 |
Health status | Mom - hypertension |
Please indicate if any twins in your family and the relationship to you | Aunt and uncle, nieces and niece and nephew |
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 | No |
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 has blood pressure and thyroid |
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 | 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 | None of which I am aware |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | Not indicated |
Current age or age of death | 86 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | MGF - heart attack, PGF- old age |
Current age or age at time of death | 40 and 62 |
Grandfathers' eye colour (maternal and paternal) | MGF - dark brown, PGF - blue |
Grandmothers' eye colour (maternal and paternal) | MGF - brown, PGM - green |
Grandfathers' hair colour (maternal and paternal) | MGF - black, PGF - brown |
Grandmothers' hair colour (maternal and paternal) | MGM - black, PGM - blonde |
Health of grandmothers (maternal and paternal) | MGM - very healthy, PGM - deceased |
Health of grandfathers (maternal and paternal) | Deceased |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All coloured |
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
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 | Port Elizabeth |
Towns available in which to donate - travel costs will be covered | Johannesburg, Pretoria, Port Elizabeth |
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 |