S – KM 4924, Klerksdorp
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | Black/African |
Age: | 21 |
Hair colour: | Black |
Eye colour: | Brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.65m., 55kg. |
Face shape: | Oblong |
Other personal information: | South African nationality. Candidate is a university student. She enjoys reading and researching. Non-smoker. Reason for donating: Having a daughter was the greatest blessing ever. She fulfills my life in such a way that I cannot think of the times she was not here. But most importantly it gave me purpose and a greater reason to keep on wanting more and better. |
Reproduction history: | One daughter and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Each person has the right to follow their own beliefs |
Add to donor preference list
Add to donor preference list
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Kleksdorp |
Nationality | South African |
Where were you born? | Kleksdorp Hospital |
What language(s) do you speak? | English, Setswana and Afrikaans |
Year of birth | 2003 |
Age | 21 |
Star sign | Cancer |
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? | Having a daughter was the greatest blessing ever. She fulfills my life in such a way that I cannot think of the times she was not here. But most importantly it gave me purpose and a greater reason to keep on wanting more and better. |
How do you best describe yourself? | I am a young female who did not have the best childhood. But I took control of my life, attended counseling and becoming the best thing that has happened to my daughter. |
Relationship status | Serious relationship |
Physical profile
Race | Black/African |
Skin complexion | Brown |
Face shape | Oblong |
Nose shape defined by Wikipedia | Snub |
Eye shape | Round |
Height in metres | 1.65 |
Weight in kilograms | 55 |
What is your usual or ideal weight? | 50 |
Build and body shape | Slim |
Which body part is most sensitive to weight gain or loss? | Unknown |
Eye colour | Brown |
Natural hair colour | Black |
Hair colour as a child | Black |
Hair type | Curly |
Hair texture | medium |
Description of hands and fingers | I have small hands "baby hands". |
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? | Unknown |
How many siblings do you have? | 1 |
Sibling 1 Eye Colour | Brown |
Sibling 1 Build | Slim and tall |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | 1 |
Child 1 Date of Birth | 01/01/1970 |
Fertility issues | No fertility issues |
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. | 1_drink |
Do you wear glasses? | Since a teen |
How would you rate your sight? | 5 |
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. | yes |
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. | |
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? | |
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? | Daily |
In which exercises or sports do you partake now? | I usually take a 30 minute walk per day. |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Athletics |
Professional and academic information
Occupation | I am a University Student |
What is your ideal career/ occupation? | Teaching |
What are you doing to get to your desired profession in life? | I am doing my second year in Varsity |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | English 63%, Afrikaans FAL 78%, Mathematical Literacy 64%, Geography 59%, Life Sciences 60%, Consumer Studies 70%, Life Orientation 74% |
What is the name of any course / degree completed? | |
Planned studies | BEd |
In what aspects do you have a keen interest? | Becoming a teacher |
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 |
Behavioural traits
What is most important in life to you? | My family, having a peaceful and respectful life. |
If you had unlimited resources and could save one thing on earth what would it be? | Animals |
What are your views on religion and spirituality, and practiced religion? | Each person has the right to follow their own beliefs |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | Unknown |
Interests and hobbies | Reading and researching |
What is your preferred holiday? | stay_at_home |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Sun City, Valley of the waves |
What are your feelings on animal welfare? | We have to protect earth to protect all animals. |
Strength and weaknesses | My strength and weakness is my family. |
What do others generally think of you? | That I do not like people because I have a straight face most of the times when I am walking alone. |
Favourite flower | Red roses |
What is your favourite meal? | Pork chops with Durban curry noodles. |
What is your favourite movie? | All Twilight movies |
What is your favourite book? | Macbeth |
Who is your favourite actor? | I do not have one |
Who is your favourite actress? | I do not have one |
What is your favourite colour? | Blue |
What is your favourite colour lipstick? | I do not apply makeup |
What is your favourite perfume? | I do not have |
Who is your favourite person? | My partner |
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? | More Adventurous |
Do you prefer indoors or outdoors? | Depending on the Situation |
Which weather do you prefer? | rain |
Are you more creative or analytical? | analytical |
Family information of genetic parents
Nationality for mother and father | South Africans |
Country of origin and ancestry for mother and father | South Africa |
Language spoken for mother and father | Setswana |
Professions for mother and father | Domestic workers |
Achievements on an academic level for mother and father | Matric and exemption |
Race for mother and father | Black |
Natural hair colour for mother and father | Black |
Eye colour for mother and father | Brown |
Height for mother and father | Unknown |
Mother and father build | Slim |
Any specific defining traits for both parents | Unknown |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | |
Age (if living, or age deceased) | Mom - 47, dad - 51 |
Health status | |
Please indicate if any twins in your family and the relationship to you | There are 2 sets of twins from my father's side, they are my aunts |
Please list any family members who have had cancer including aunts or uncles and on which family side | No one |
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? | Unknown |
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? | My mother has arthritis |
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 | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Only PGM |
If deceased, state cause of death | Not indicated |
Current age or age of death | Unknown |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Not indicated |
Current age or age at time of death | Unknown |
Grandfathers' eye colour (maternal and paternal) | Unknown |
Grandmothers' eye colour (maternal and paternal) | Brown |
Grandfathers' hair colour (maternal and paternal) | Black |
Grandmothers' hair colour (maternal and paternal) | Black |
Health of grandmothers (maternal and paternal) | They have high blood pressure |
Health of grandfathers (maternal and paternal) | Unknown |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | My grandmother's race is the same as mine, black African |
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 | As long as there is respect from the people I will be donating to it is fine. |
Preferred town to donate | Pretoria |
Towns available in which to donate - travel costs will be covered | Johannesburg, Pretoria |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
Please advise any specific donation criteria other than those mentioned | Unknown |
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 |