A – KB 4201, Port Elizabeth
Generate PDFAvailability status: | Available now in Port Elizabeth |
Race: | Coloured |
Age: | 21 |
Hair colour: | Brown, straight |
Eye colour: | Brown |
Has children: | No |
Proven donor | Yes |
Post matric studies: | Yes |
Other physical information: | 1.65m., 70kg. slim body with wide hips, two dimples, one is lighter than the other |
Face shape: | Oval |
Other personal information: | South African nationality. Candidate is currently studying towards a bachelors degree in Industrial psychology. She describes herself as a very loving and strong girl, who is confident and quite talkative. She connects well with people. Non-smoker. Reason for donating: I would love to help someone who cannot produce, I can only imagine how difficult that must be. I would honestly love to be a part of something so beautiful and to make someone’s life whole again. |
Reproduction history: | No children and proven donor resulting in a pregnancy. |
What are your views on religion and spirituality, and practiced religion? | I am very religious |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Port Elizabeth, Eastern Cape |
Nationality | South African |
Where were you born? | South Africa |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 2003 |
Age | 21 |
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 someone who cannot produce, I can only imagine how difficult that must be. I would honestly love to be a part of something so beautiful and to make someone’s life whole again. |
How do you best describe yourself? | I would describe myself as a people’s person, I am very confident and energetic. |
Relationship status | Serious relationship |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Dark |
Face shape | oval |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Asian |
Height in metres | 1.65 |
Weight in kilograms | 70 |
What is your usual or ideal weight? | 70 |
Build and body shape | Slim |
Which body part is most sensitive to weight gain or loss? | Legs, weight gain |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Straight |
Hair texture | medium |
Description of hands and fingers | I have thin hands and long fingers |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | I am a 36C in breast cup Shoe size - 5 I am beauty spots on my foot and hand as well as two dimples with one being a bit lighter than the other |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | |
How many siblings do you have? | -1 |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | -1 |
Fertility issues | No |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy |
Smoker | 0 - 5 per day |
Alcohol consumption per week. | -1 |
Do you wear glasses? | Never |
How would you rate your sight? | -1 |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | -1 |
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? | -1 |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | -1 |
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. | -1 |
Any physical handicaps or deformaties? If yes, please state. | -1 |
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? | -1 |
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. | -1 |
Details of any operations? | No |
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. | -1 |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | -1 |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Gymming |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Soccer |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | Industrial psychologist |
What are you doing to get to your desired profession in life? | I am studying towards that goal |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | English - 55%, Afrikaans - 76%, Mathematics Literacy- 60%, Business Studies -64%, Engineering Graphics and Designs - 50% and Life Orientation - 74% |
What is the name of any course / degree completed? | None yet. |
Planned studies | I am currently studying industrial psychology |
In what aspects do you have a keen interest? | Doing artistic things |
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? | -1 |
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? | The ocean |
What are your views on religion and spirituality, and practiced religion? | I am very religious |
Childhood religion? | Islamic |
Any specific achievements or aspects of recognition in your family | No |
Interests and hobbies | Doing nails and gymming |
What is your preferred holiday? | -1 |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | None |
What are your feelings on animal welfare? | Animal welfare is very very important to me, I love animals |
Strength and weaknesses | Strength - I am a very confident person, weakness - I trust too easily. |
What do others generally think of you? | They definitely think I am a strong person |
Favourite flower | Protea |
What is your favourite meal? | Mashed potatoes with steak |
What is your favourite movie? | Titanic |
What is your favourite book? | The fault in our stars |
Who is your favourite actor? | Adam Sandler |
Who is your favourite actress? | Jenniffer Addison |
What is your favourite colour? | Blue |
What is your favourite colour lipstick? | None |
What is your favourite perfume? | Elizabeth Arden White tea |
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? | No |
Are you more cultural or more adventurous? | More Adventurous |
Do you prefer indoors or outdoors? | Depending on the Situation |
Which weather do you prefer? | -1 |
Are you more creative or analytical? | -1 |
Family information of genetic parents
Nationality for mother and father | Both South African |
Country of origin and ancestry for mother and father | Both South Africa |
Language spoken for mother and father | Both English |
Professions for mother and father | Mom - cook, dad - tiler |
Achievements on an academic level for mother and father | Mom - grade 9, dad - grade 11 |
Race for mother and father | Both coloured |
Natural hair colour for mother and father | Mom - brown, dad - black |
Eye colour for mother and father | Mom - hazel, dad - brown |
Height for mother and father | Mom - 1.59m., dad - 1.7m |
Mother and father build | Mom - chubby, dad - slim |
Any specific defining traits for both parents | Mom - short, dad - tall |
Are your parents still alive? | No To Both |
If deceased, cause of death | Mom - covid 19, dad - pancreatitis |
Age (if living, or age deceased) | Mom - 45, dad - 52 |
Health status | |
Please indicate if any twins in your family and the relationship to you | Yes, nieces |
Please list any family members who have had cancer including aunts or uncles and on which family side | Aunt , moms side |
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 - heart problem |
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 | No |
Any other comments regaring any health aspects in your family | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | I’m not sure |
Current age or age of death | MGM - 55 , PGM - 69 |
Grandfathers still alive? | Yes to Both |
If deceased, state cause of death | Not applicable |
Current age or age at time of death | MGF - 72 , PGF - 83 |
Grandfathers' eye colour (maternal and paternal) | Both brown |
Grandmothers' eye colour (maternal and paternal) | MGM - hazel, PGM - brown |
Grandfathers' hair colour (maternal and paternal) | MGM - grey, PGM - black |
Grandmothers' hair colour (maternal and paternal) | MGM - ginger, PGM - black |
Health of grandmothers (maternal and paternal) | Both good |
Health of grandfathers (maternal and paternal) | Both good |
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
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 | 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 | |
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 |