S – LD 4705, Cape Town
Generate PDFAvailability status: | Available now in Cape Town |
Race: | Coloured |
Age: | 33 |
Hair colour: | Ginger |
Eye colour: | Brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.53m., 70kg. |
Face shape: | Round |
Other personal information: | South African nationality. Candidate is employed as an HR professional. She holds a national diploma in HR and studying towards her degree. She loves the outdoors but not as much as cooking and baking. Light to non-smoker. Reason for donating: I would love to give those the opportunity to become parents that might have lost hope and think they are out of options |
Reproduction history: | Two children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Old apostolic (Christian) dad is Muslim husband is Indian |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Cape Town, Western Cape |
Nationality | South African |
Where were you born? | Cape Town |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 1991 |
Age | 33 |
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? | I would love to give those the opportunity to become parents that might have lost hope and think they are out of options. |
How do you best describe yourself? | I am a hard working honest, reliable person. I am always the go to person for family and friends. I am always willing to assist where I am able. |
Relationship status | Married |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Fair |
Face shape | |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Round |
Height in metres | 1.53 |
Weight in kilograms | 70 |
What is your usual or ideal weight? | 60 |
Build and body shape | Size 34 |
Which body part is most sensitive to weight gain or loss? | Tummy |
Eye colour | Brown |
Natural hair colour | Red |
Hair colour as a child | |
Hair type | Wavy |
Hair texture | Fine |
Description of hands and fingers | All 5 fingers normal medium size |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup C, size 5 shoe, freckles on nose |
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 |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | None |
Smoker | 0 - 5 per day |
Alcohol consumption per week. | |
Do you wear glasses? | Never |
How would you rate your sight? | |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | |
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? | |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | |
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. | |
Any physical handicaps or deformaties? If yes, please state. | |
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? | |
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. | |
Details of any operations? | C section 13 years ago |
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. | |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | |
How often do you excercise? | Never |
In which exercises or sports do you partake now? | Nkne |
Have you excelled in any sports? | |
What sports did you play at school? | Netball and tennis |
Professional and academic information
Occupation | HR Business Partner |
What is your ideal career/ occupation? | HR Manager |
What are you doing to get to your desired profession in life? | Complete my degree in HR Management |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Distinctions while working full time and a mother of 2 and a wife |
What is the name of any course / degree completed? | HR Management National Diploma |
Planned studies | HR degree |
In what aspects do you have a keen interest? | industrial relations |
What type of books do you like to read? | I do not 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? |
Behavioural traits
What is most important in life to you? | God, my family and career |
If you had unlimited resources and could save one thing on earth what would it be? | |
What are your views on religion and spirituality, and practiced religion? | Old apostolic (Christian) dad is Muslim husband is Indian |
Childhood religion? | Muslim and Christian |
Any specific achievements or aspects of recognition in your family | |
Interests and hobbies | Cooking, baking, swimming |
What is your preferred holiday? | |
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? | Love pets and should be taken care of as they are family of a pet dies it affects all of us |
Strength and weaknesses | Always willing to go the extra mile and never push back |
What do others generally think of you? | That I am a kind hearted person with a big heart as I would buy groceries for less fortunate families more than twice a year |
Favourite flower | Roses |
What is your favourite meal? | Dhal curry |
What is your favourite movie? | None |
What is your favourite book? | None |
Who is your favourite actor? | Matt Damon |
Who is your favourite actress? | Jennifer Lopez |
What is your favourite colour? | Red |
What is your favourite colour lipstick? | Light brown |
What is your favourite perfume? | Curious by Britney spears |
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? | Piano saxophone |
Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
Do you prefer indoors or outdoors? | Depending on the Situation |
Which weather do you prefer? | |
Are you more creative or analytical? |
Family information of genetic parents
Nationality for mother and father | Coloured |
Country of origin and ancestry for mother and father | South Africa |
Language spoken for mother and father | English and Afrikaans |
Professions for mother and father | Mom - HR professional, dad - mechanic |
Achievements on an academic level for mother and father | |
Race for mother and father | Both coloured |
Natural hair colour for mother and father | Mom - red, dad - black |
Eye colour for mother and father | Both brown |
Height for mother and father | Mom - 1.8m., dad - 1.6m. |
Mother and father build | Not big built |
Any specific defining traits for both parents | Both hard working |
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 | Excellent |
Please indicate if any twins in your family and the relationship to you | Yes sisters cousins and uncles quite a few sets of twins in my family both mom and dad side |
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 | 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? | Grandmother had cholesterol and 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 |
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 |
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 | None |
Any other comments regaring any health aspects in your family | None |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | Due to heart problems at the age of 70 |
Current age or age of death | 70 |
Grandfathers still alive? | Yes to Both |
If deceased, state cause of death | |
Current age or age at time of death | |
Grandfathers' eye colour (maternal and paternal) | MGF - green, PGF - brown |
Grandmothers' eye colour (maternal and paternal) | Both brown |
Grandfathers' hair colour (maternal and paternal) | MGF - red, PGF - black |
Grandmothers' hair colour (maternal and paternal) | Both black |
Health of grandmothers (maternal and paternal) | MGM - none, PGM - cholesterol and heart issues |
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 | Not indicated |
Any genetic health or psychological concerns worth noting regarding your grandparents | Not indicated |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | Not indicated |
Egg donation stipulations
Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | Not indicated |
Preferred town to donate | Cape Town |
Towns available in which to donate - travel costs will be covered | Cape Town, Stellenbosch, Johannesburg, Pretoria, Port Elizabeth, Durban, Bloemfontein |
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 |