S – LC 2784, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | White/ Caucasian |
Age: | 21 |
Hair colour: | Thick blonde hair |
Eye colour: | Brown eyes |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.67m., 68kg., fair skin complexion, beauty spot above top lip. |
Face shape: | face_oval |
Other personal information: | South Africa, A+ blood group, Christian. Candidate is employed as an accounts clerk and studying financial management. She is a quiet person who enjoys painting, drawing, singing and listening to music. Reason for donating: I want to become an egg donor, because I have recently lost a baby at 11 weeks pregnant, and only now do I understand what if feels like for others and I cannot even imagine going through this several times. It was heart broken for me and If my donation can prevent this from happening to anyone then that would make me feel like I had done something right. |
Reproduction history: | Two children and no previous donations. |
What are your views on religion and spirituality, and practiced religion? | I am a Christian, I believe in Karma and reincarnation |
SKU: 126708
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Johannesburg South, Gauteng |
Nationality | South African |
Where were you born? | Vereeniging |
What language(s) do you speak? | Afrikaans and English |
Year of birth | 1997 |
Age | 21 |
Star sign | Capricorn |
Blood group (if known) | A+ |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I want to become an egg donor, because I have recently lost a baby at 11 weeks pregnant, and only now do I understand what if feels like for others and I cannot even imagine going through this several times. It was heart broken for me and If my donation can prevent this from happening to anyone then that would make me feel like I had done something right. |
How do you best describe yourself? | I am a quiet person, I am not bubbly at all and struggle to start conversations. |
Relationship status | Engaged |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | oval |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Round Almond |
Height in metres | 1.67m. |
Weight in kilograms | 68kg. |
What is your usual or ideal weight? | |
Build and body shape | I am a pear shape, from my waist down I am a little chubby. I have fairly big thighs and bum. |
Which body part is most sensitive to weight gain or loss? | My thighs. |
Eye colour | Brown |
Natural hair colour | Blonde |
Hair colour as a child | Blonde |
Hair type | Wavy |
Hair texture | Thick |
Description of hands and fingers | I have long thin fingers. I've got real lady hands - petite |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Shoe size - 5/6 Breats cup Size - 34B, No freckles, no dimples |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Marilyn Monroe |
Siblings physical traits - hair and eye colour, height, weight and build | I am the only sibling with blonde hair. both my sister has brown hair |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | Yes |
No. and ages of children (if applicable) | Two children born in 2016 and 2017. |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Excellent health status, barely get sick |
Smoker | 5 - 10 per day |
Alcohol consumption per week. | None |
Do you wear glasses? | Since a teen |
How would you rate your sight? | Poor |
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? | No |
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? | Tonsils removed at the age of 5 |
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? | Never |
In which exercises or sports do you partake now? | None |
Have you excelled in any sports? | Long distance athletics, Netbal, Hockey |
What sports did you play at school? | Long distance athletics, Netbal, Hockey |
Professional and academic information
Occupation | Accounts Clerk |
What is your ideal career/ occupation? | Financial Manager |
What are you doing to get to your desired profession in life? | I am currently studying towards a Diploma in Financial Management |
Do you have a matric and university exemption? | No matric |
Subjects and grades or marks at school | |
What is the name of any course / degree completed? | |
Planned studies | |
In what aspects do you have a keen interest? | |
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 mother and my children |
If you had unlimited resources and could save one thing on earth what would it be? | Children in need |
What are your views on religion and spirituality, and practiced religion? | I am a Christian, I believe in Karma and reincarnation |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | Painting and drawing |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | None as yet |
What are your feelings on animal welfare? | |
Strength and weaknesses | I am a kind hearted person, that is both my strength and my weakness |
What do others generally think of you? | That I come across as quiet. |
Favourite flower | Dahlia |
What is your favourite meal? | Any home cooked meal |
What is your favourite movie? | The Vow |
What is your favourite book? | |
Who is your favourite actor? | |
Who is your favourite actress? | James Franco |
What is your favourite colour? | Drew Barrymore |
What is your favourite colour lipstick? | Red |
What is your favourite perfume? | Anything with a sweet scent |
Who is your favourite person? | My mother |
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? | I played guitar for a while |
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 African |
Language spoken for mother and father | Both Afrikaans |
Professions for mother and father | Mom - financial field, dad - qualified electrician |
Achievements on an academic level for mother and father | |
Race for mother and father | Both white/ caucasian |
Natural hair colour for mother and father | Both brown |
Eye colour for mother and father | Mom - green, dad - blue |
Height for mother and father | Mom - short, dad - tall |
Mother and father build | Mom - small, dad - tall and skinny |
Any specific defining traits for both parents | My mom is short and tiny, my dad had a red tint in his hair and had freckles. |
Are your parents still alive? | Only my mother |
If deceased, cause of death | Head injury while on duty |
Age (if living, or age deceased) | Mom - 40, dad - 36 (when he passed away) |
Health status | Excellent |
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 | My aunt is in hospital at the moment with cancer. She is my Mother's aunt |
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? | 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 | My mom was diagnosed with chronic depression |
Any physical deformaties or handicaps? If yes, please state | None |
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 | None |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Yes to Both |
If deceased, state cause of death | Not applicable |
Current age or age of death | 69 and 60 |
Grandfathers still alive? | Only PGF |
If deceased, state cause of death | MGF - accident on the road |
Current age or age at time of death | MGF - passed at 45, PGF - 66 |
Grandfathers' eye colour (maternal and paternal) | MGF - brown, PGF - blue |
Grandmothers' eye colour (maternal and paternal) | Both brown |
Grandfathers' hair colour (maternal and paternal) | MGF - dark, PGF - brown |
Grandmothers' hair colour (maternal and paternal) | MGM - Brown PGM - Brown |
Health of grandmothers (maternal and paternal) | Excellent |
Health of grandfathers (maternal and paternal) | Excellent |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | No mixed races |
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 | |
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 | 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 |