S – KW 4000, Durban
Generate PDFAvailability status: | Available now in all regions, outside of Kzn - travel costs |
Race: | White |
Age: | 31 |
Hair colour: | Dark brown straight |
Eye colour: | Dark brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.7m., 68kg., natural tanned skin. |
Face shape: | Oblong |
Other personal information: | South African nationality. Candidate is employed as a buyer. Non-smoker. Reason for donating: I would like to help women that are unable to produce eggs or for whatever else their medical situation prohibits them from conceiving. My mom tried to have another baby and she was unable to and this broke her, since then i have wanted to help women like her. |
Reproduction history: | One son born 2008. No donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I dont like to get in to it, I believe everyone has there own opinion |
Add to donor preference list
Add to donor preference list
Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | Durban, Kzn |
Nationality | South African |
Where were you born? | Durban, Parklands Hospital |
What language(s) do you speak? | English |
Year of birth | 1991 |
Age | 31 |
Star sign | Germini |
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 like to help women that are unable to produce eggs or for whatever else their medical situation prohibits them from conceiving. My mom tried to have another baby and she was unable to and this broke her, since then i have wanted to help women like her. |
How do you best describe yourself? | I am well groomed, I look after myself as much as possible, I hate dirty things. I love to try new things and I love helping people. |
Relationship status | Serious relationship |
Physical profile
Race | White/ Caucasian |
Skin complexion | Olive |
Face shape | oblong |
Nose shape defined by Wikipedia | Roman - Convex undulating nose |
Eye shape | Round |
Height in metres | 1.7m. |
Weight in kilograms | 68kg. |
What is your usual or ideal weight? | 70 |
Build and body shape | Not fat but not thin |
Which body part is most sensitive to weight gain or loss? | Tummy area |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Straight |
Hair texture | Fine |
Description of hands and fingers | Straight and ordinary. |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup 34B sometimes 34C depending on the bra, size 5/6 shoe |
Are you left handed or right handed? | Left 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 |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy |
Smoker | Ex-smoker |
Alcohol consumption per week. | Maybe 2 glass of wine a week - normally while I cook supper |
Do you wear glasses? | For all my life |
How would you rate your sight? | My left eye was damaged at birth, it was a human error, I was not born with it. |
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? | None |
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 |
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. | 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. | None |
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 swim nearly every day in summer (when not raining), in winter I do not really do much |
Have you excelled in any sports? | High jump and swimming |
What sports did you play at school? | High jump and swimming |
Professional and academic information
Occupation | Buyer |
What is your ideal career/ occupation? | Working in construction has always been a dream which I am currently living |
What are you doing to get to your desired profession in life? | Working with it |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | I took nearly every subject in school as well as computers, cooking, needle work |
What is the name of any course / degree completed? | None |
Planned studies | None |
In what aspects do you have a keen interest? | Cooking and swimming |
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? | Yes it was when I was in primary school, but I am not sure the results |
Behavioural traits
What is most important in life to you? | Family and my job |
If you had unlimited resources and could save one thing on earth what would it be? | Stray dogs and cats |
What are your views on religion and spirituality, and practiced religion? | I dont like to get in to it, I believe everyone has there own opinion |
Childhood religion? | Roman catholic |
Any specific achievements or aspects of recognition in your family | no |
Interests and hobbies | Cooking and swimming |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | New Zealand |
What are your feelings on animal welfare? | I love all animals if I could take every stray animal off the streets, I would in a heart beat |
Strength and weaknesses | Weaknesses - animals as they dont have a voice for themselves. |
What do others generally think of you? | I am not scared to stand for what I believe |
Favourite flower | Rose |
What is your favourite meal? | Curry |
What is your favourite movie? | Just go with it |
What is your favourite book? | Harry Potter |
Who is your favourite actor? | Adam Sandler |
Who is your favourite actress? | |
What is your favourite colour? | Black and blue |
What is your favourite colour lipstick? | Natural |
What is your favourite perfume? | DKYN all types |
Who is your favourite person? | My mom, my hero |
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? | Bit of Both - depending on Situation |
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 | 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 - owns a company, dad - mechanic |
Achievements on an academic level for mother and father | |
Race for mother and father | Both white |
Natural hair colour for mother and father | Both dark brown |
Eye colour for mother and father | Both brown |
Height for mother and father | |
Mother and father build | Mom - thin, dad - stocky |
Any specific defining traits for both parents | None |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Not indicated |
Health status | Both healthy |
Please indicate if any twins in your family and the relationship to you | PGM was a twin |
Please list any family members who have had cancer including aunts or uncles and on which family side | None indicated |
Any fertility problems in your family | My mom tried to have another baby, but she was a little too old |
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? | None |
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 | None indicated |
Any physical deformaties or handicaps? If yes, please state | None indicated |
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 indicated |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Not indicated |
Current age or age of death | Not indicated |
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) | Unknown |
Grandfathers' hair colour (maternal and paternal) | Unknown |
Grandmothers' hair colour (maternal and paternal) | Unknown |
Health of grandmothers (maternal and paternal) | Unknown |
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 | All white |
Any genetic health or psychological concerns worth noting regarding your grandparents | Unknown |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | Unknown |
Egg donation stipulations
Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | None at all, we here to help anyone in need |
Preferred town to donate | Durban |
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 | |
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 |