S - KA 4250, Langebaan

S – KA 4250, Langebaan

Availability status:	Available now in Cape Town
Race:	White
Age:	30
Hair colour:	Brown
Eye colour:	Brown
Has children:	Yes
Proven donor	No
Post matric studies:	Yes
Other physical information:	1.53m., 52kg., slim build.
Face shape:	Round
Other personal information:	South African nationality, Italian ancestry. Candidate is employed as a manager. She is a friendly person who enjoys tennis and surfing. She has studied marketing. Non-smoker. Reason for donating: I would like to help you have a baby.
Reproduction history:	One child and no donations as yet.
What are your views on religion and spirituality, and practiced religion?

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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	Healthy
Smoker	never smoked
Alcohol consumption per week.	do not drink
Do you wear glasses?	Never
How would you rate your sight?	excellent
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
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 indictaed
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.	Not really as I have a fast metabolism
How often do you excercise?	Not Selected
In which exercises or sports do you partake now?
Have you excelled in any sports?
What sports did you play at school?	Tennis and surfing

Professional and academic information

Behavioural traits

What is most important in life to you?	Taking care of animals and making sure they are safe/ fed/ healthy
If you had unlimited resources and could save one thing on earth what would it be?	Probably something to do with animals wellbeing
What are your views on religion and spirituality, and practiced religion?
Childhood religion?	Catholic
Any specific achievements or aspects of recognition in your family
Interests and hobbies	Volunteering at animal shelters
What is your preferred holiday?
If you were offered an all-inclusive holiday, what would it be?
Which interesting places have you visited?	Qatar
What are your feelings on animal welfare?	I am a animal person.
Strength and weaknesses	Strength - concern for animals
What do others generally think of you?	Friendly
Favourite flower
What is your favourite meal?	Steak
What is your favourite movie?
What is your favourite book?
Who is your favourite actor?	Tobey Maguire
Who is your favourite actress?	Michelle Pfeiffer
What is your favourite colour?	Baby blue
What is your favourite colour lipstick?	baby pink
What is your favourite perfume?
Who is your favourite person?	my child
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?	played piano in school at concerts
Are you more cultural or more adventurous?	More Adventurous
Do you prefer indoors or outdoors?	Depending on the Situation
Which weather do you prefer?
Are you more creative or analytical?

Family information of genetic parents

Nationality for mother and father	Mom - South African, dad - Italian
Country of origin and ancestry for mother and father	Mom - South African, Dad - Italy
Language spoken for mother and father	Dad - Italian, english and arabic
Professions for mother and father	Retired
Achievements on an academic level for mother and father
Race for mother and father
Natural hair colour for mother and father	Mom - blonde, dad - black
Eye colour for mother and father	Mom - blue, dad - brown
Height for mother and father
Mother and father build
Any specific defining traits for both parents
Are your parents still alive?	Yes to Both
If deceased, cause of death	Not applicable
Age (if living, or age deceased)	60s
Health status	Healthy
Please indicate if any twins in your family and the relationship to you	None
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
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
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	Not Selected
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	No To Both
Grandmothers still alive?	No to Both
If deceased, state cause of death	Old age
Current age or age of death	In their 90s
Grandfathers still alive?	No to Both
If deceased, state cause of death	Old age
Current age or age at time of death	In their 90s
Grandfathers' eye colour (maternal and paternal)	Brown
Grandmothers' eye colour (maternal and paternal)	Brown
Grandfathers' hair colour (maternal and paternal)	Brown
Grandmothers' hair colour (maternal and paternal)	Brown
Health of grandmothers (maternal and paternal)	Not indicated
Health of grandfathers (maternal and paternal)	Not indicated
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents	Not indicated
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

Confirmation

In which town and province do you live?	Langebaan, Western Cape
Nationality	South African
Where were you born?	Cape Town
What language(s) do you speak?	English
Year of birth	1993
Age	30
Star sign
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?	Give you a chance at conceiving a healthy child.
How do you best describe yourself?
Relationship status	Single

Race	White/ Caucasian
Skin complexion	Olive
Face shape	round
Nose shape defined by Wikipedia	Unanswered
Eye shape	Not Selected
Height in metres	1.53m.
Weight in kilograms	52kg.
What is your usual or ideal weight?	52kg.
Build and body shape	slim
Which body part is most sensitive to weight gain or loss?
Eye colour	Brown
Natural hair colour	Brown
Hair colour as a child	Brown
Hair type	Straight
Hair texture	medium
Description of hands and fingers
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?
Siblings physical traits - hair and eye colour, height, weight and build

Are you a virgin?	No
Ever miscarried?	No
No. and ages of children (if applicable)	One child born 2016
Fertility issues	None

Occupation	Manager
What is your ideal career/ occupation?	Travelling job where I get to experience new cultures
What are you doing to get to your desired profession in life?	Trying to apply for jobs overseas
Do you have a matric and university exemption?	Only Matric
Subjects and grades or marks at school
What is the name of any course / degree completed?	Marketing
Planned studies
In what aspects do you have a keen interest?	Animals
What type of books do you like to read?
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

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	Cape Town
Towns available in which to donate - travel costs will be covered

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

Donor profiles

S – KA 4250, Langebaan

Additional donor information