S – KB 3180, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | White |
Age: | 19 |
Hair colour: | Thick straight brown hair |
Eye colour: | Green |
Has children: | No |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.67m., 64kg., button nose, long legs |
Face shape: | Round |
Other personal information: | South African nationality, O- blood group, Christian. Candidate is an animal and plant biologist student. She achieved six distinctions at school. She loves music and playing the ukulele and drums. She is an intellectual and and academic person. Non-smoker. Reason for donating: I have known for a while that having children is not my dream, but I know it is for so many women out there. I knew that I wanted to help women who are dreaming of their own baby but are unable to make it a reality. I may be young but this is a cause in which I wholly believe. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I do not like religion because I think it is highly constraining but believe in God and practice being spiritual in daily life as a christian. |
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Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | Randburg, Gauteng |
Nationality | South African |
Where were you born? | Amanzimtoti KZN |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 2000 |
Age | 19 |
Star sign | Libra |
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 have known for a while that having children is not my dream, but I know it is for so many women out there. I knew that I wanted to help women who are dreaming of their own baby but are unable to make it a reality. I may be young but this is a cause in which I wholly believe. |
How do you best describe yourself? | I am a very empathetic person who tries to treat everyone and everything with kindness, and respect. I am intelligent and a very hard worker. |
Relationship status | Serious relationship |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | round |
Nose shape defined by Wikipedia | Turned up |
Eye shape | Round |
Height in metres | 1.67 |
Weight in kilograms | 65 |
What is your usual or ideal weight? | 65 |
Build and body shape | Slight hourglass body shape and a slender build |
Which body part is most sensitive to weight gain or loss? | Stomach, back and face |
Eye colour | Green |
Natural hair colour | Brown |
Hair colour as a child | Light brown |
Hair type | Straight |
Hair texture | Thick |
Description of hands and fingers | Long slender fingers. Rectangular fingernails. Square palm. |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup: C Shoe size: 6 I have freckles Size 8 clothing Naturally straight teeth |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | |
How many siblings do you have? |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | |
Fertility issues | None that I know of |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy, no health issues |
Smoker | never smoked |
Alcohol consumption per week. | None (only one or two drinks on special occasions) |
Do you wear glasses? | Since a teen |
How would you rate your sight? | I have difficulty seeing far away |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | None |
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. | 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? | None of which I am aware |
History of asthma | Yes - Mild |
Indicate any medication you are taking and reason for it. | Yaz for birth control |
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. | Vegetarian |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Long distance running |
Have you excelled in any sports? | Long distance running and swimming |
What sports did you play at school? | Hockey, cross-country, athletics and squash |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | Field biologist |
What are you doing to get to your desired profession in life? | Studying biology |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Afrikaans - 90%, English - 86%, Biology - 90%, Mathematics - 89%, Physics - 86%, Art- 87%. |
What is the name of any course / degree completed? | Completed first year bachelors in biological sciences |
Planned studies | Complete my degree in animal, plant and environmental sciences |
In what aspects do you have a keen interest? | Ecology and animals |
What type of books do you like to read? | |
Would you prefer to read the book or watch the movie? | Both |
Do you know if your IQ was ever tested and the score please? | Around 140 |
Behavioural traits
What is most important in life to you? | To be kind to both people and animals |
If you had unlimited resources and could save one thing on earth what would it be? | The environment |
What are your views on religion and spirituality, and practiced religion? | I do not like religion because I think it is highly constraining but believe in God and practice being spiritual in daily life as a christian. |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | I love nature, art and music. I like to embroider and sew as well as play instruments like the ukulele. |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Our neighboring countries such as Namibia, Zimbabwe and Botswana - experiencing their famous sites. I have been to the UK and France as well. |
What are your feelings on animal welfare? | I am highly passionate in this area and plan to dedicate my life to conservation. |
Strength and weaknesses | Strengths - I am a fast learner, grounded in my beliefs, respectful and kind, weakness - I can be shy at times. |
What do others generally think of you? | I would say they think I am a caring person on whom people rely. |
Favourite flower | Tulips |
What is your favourite meal? | My grandmother’s old fashioned Afrikaans food |
What is your favourite movie? | Across the Universe |
What is your favourite book? | We are all completely beside ourselves by Karen Joy Fowler |
Who is your favourite actor? | James McAvoy |
Who is your favourite actress? | Felicity Jones |
What is your favourite colour? | Yellow |
What is your favourite colour lipstick? | Light pink |
What is your favourite perfume? | Ellie Saab girl of now |
Who is your favourite person? | My older brother |
Are you more introverted or extroverted? | Introverted |
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? | Yes I play the ukulele and the drums, and like to sing |
Are you more cultural or more adventurous? | More Adventurous |
Do you prefer indoors or outdoors? | Outdoors |
Which weather do you prefer? | |
Are you more creative or analytical? |
Family information of genetic parents
Nationality for mother and father | Mom - UK, dad - South African |
Country of origin and ancestry for mother and father | Both South Africa |
Language spoken for mother and father | Mom - English, dad - Afrikaans |
Professions for mother and father | Mom - nurse, dad - doctor |
Achievements on an academic level for mother and father | Mom - honours in nursing, dad - full medical degree and now specializing |
Race for mother and father | Both white |
Natural hair colour for mother and father | Mom - blonde, dad - brunette |
Eye colour for mother and father | Mom - green, dad - brown |
Height for mother and father | Mom - 1.65m., dad - 1.75m |
Mother and father build | Mom - normal build, dad - toned |
Any specific defining traits for both parents | Mom - round face, straight teeth, turned up nose, dad - long straight nose, broad shoulders |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 43, dad - 51 |
Health status | Mother - has crohns, dad - no health issues |
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 |
Any fertility problems in your family | My paternal aunt struggled to get pregnant |
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? | My grandmother has heart problems |
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 | 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 | My mom has crohns disease, my dad is a smoker |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Yes to Both |
If deceased, state cause of death | Not |
Current age or age of death | 65 and 74 |
Grandfathers still alive? | Yes to Both |
If deceased, state cause of death | Not applicable |
Current age or age at time of death | 68 and 74 |
Grandfathers' eye colour (maternal and paternal) | Both blue |
Grandmothers' eye colour (maternal and paternal) | MGM - green, PGM - brown |
Grandfathers' hair colour (maternal and paternal) | MGF - brown, PGF - blonde |
Grandmothers' hair colour (maternal and paternal) | MGM - blonde, PGM - brown |
Health of grandmothers (maternal and paternal) | PGM has heart problems |
Health of grandfathers (maternal and paternal) | None |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Same race |
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 | None |
Preferred town to donate | Johannesburg |
Towns available in which to donate - travel costs will be covered |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
Please advise any specific donation criteria other than those mentioned | N/a |
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 |