S – LM 3365, North West
Generate PDFAvailability status: | Available now in Pretoria and Johannesburg - travel costs |
Race: | Black African |
Age: | 23 |
Hair colour: | Brown |
Eye colour: | Brown |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.67m., 52kg., size 28 clothing |
Face shape: | Heart |
Other personal information: | South African nationality, of Tswana and Ugandan ancestry. Candidate is a university Student (student teacher and a prominent artist in South Africa. Non-smoker. Reason for donating: I want to help and hope I am the right person for you. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I am not against any belief, as long people knows what's best for them. I'm a spiritual personon |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Vryburg, North West |
Nationality | South African |
Where were you born? | South Africa |
What language(s) do you speak? | Setswana, Sesotho, Sepedi and English |
Year of birth | 1997 |
Age | 23 |
Star sign | Sagittarius |
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 want to help other women who have complications with fertility. I hope I am the right person to help you sister. |
How do you best describe yourself? | I'm an introverted kind of person but as soon I get used to someone's company, I dramatically become myself. |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Brown |
Face shape | heart |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Round Almond |
Height in metres | 1.67m. |
Weight in kilograms | 52kg. |
What is your usual or ideal weight? | 66.6kg. |
Build and body shape | Thin, slim like a size 28 model |
Which body part is most sensitive to weight gain or loss? | Stomach |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Afro |
Hair texture | medium |
Description of hands and fingers | Medium size |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | 32B breasts, size 7/ 8 shoe, neither freckles nor dimples, birth mark on my right eye |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Lupita Nyongo |
Siblings physical traits - hair and eye colour, height, weight and build | I want to be medium,as in size 32 |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | None |
Fertility issues | No |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Perfect |
Smoker | Ex-smoker |
Alcohol consumption per week. | Once a month |
Do you wear glasses? | Never |
How would you rate your sight? | 9/10 |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Acne, sensitive skin |
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? | Cholesterol |
Have you had any cancer? | No |
Have you had any heart problems? | Yes |
Please indicate if you have any allergies | Hair dye |
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. | Never |
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. | Nothing |
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. | Nothing |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | I don’t eat red meat and cheese |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Yoga, meditation |
Have you excelled in any sports? | No |
What sports did you play at school? | Netball, hockey |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | EMS Teacher |
What are you doing to get to your desired profession in life? | Act in a proper manner |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Economics, business studies, accounting |
What is the name of any course / degree completed? | Bed degree for Fet and senior phase |
Planned studies | Real estate management degree |
In what aspects do you have a keen interest? | I want to invest in properties |
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? | Unknown |
Behavioural traits
What is most important in life to you? | My freedom and happiness |
If you had unlimited resources and could save one thing on earth what would it be? | My organs |
What are your views on religion and spirituality, and practiced religion? | I am not against any belief, as long people knows what's best for them. I'm a spiritual personon |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | Reading African novels and listening to music, I love art |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Botswana |
What are your feelings on animal welfare? | I love animals |
Strength and weaknesses | I can't speak english well, I rather text an email to communicate. I'm a critical thinker |
What do others generally think of you? | I am a well known artist in South Africa |
Favourite flower | Lilly |
What is your favourite meal? | Chicken,several colours |
What is your favourite movie? | Little monsters |
What is your favourite book? | House of hunger by dambuzo marechera |
Who is your favourite actor? | Denzel Washington, will Smith |
Who is your favourite actress? | Lupita nyongo |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | Purple |
What is your favourite perfume? | Red door |
Who is your favourite person? | Me |
Are you more introverted or extroverted? | Introverted |
Would you prefer to go out with friends or stay in with a loved one or book? | Go out with friends |
Are you musical or played any musical instruments? | Musical |
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 | Mom - South African, dad - Ugandan |
Country of origin and ancestry for mother and father | Mom - South Africa, dad - Uganda |
Language spoken for mother and father | Setswana, English and Luganda |
Professions for mother and father | Both unemployed |
Achievements on an academic level for mother and father | High school |
Race for mother and father | Both black |
Natural hair colour for mother and father | Both brown |
Eye colour for mother and father | Both brown |
Height for mother and father | Mom - 1.55m.,. dad - 1.69m. |
Mother and father build | Both average |
Any specific defining traits for both parents | Nothing, both strict |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | 46 and 53 |
Health status | Perfect |
Please indicate if any twins in your family and the relationship to you | No twins |
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 | Never |
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? | Blood pressure |
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 one |
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 | Mom - depression |
Any physical deformaties or handicaps? If yes, please state | None |
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 |
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 | 66 and 78 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Unknown |
Current age or age at time of death | 67 and 86 |
Grandfathers' eye colour (maternal and paternal) | Both brown |
Grandmothers' eye colour (maternal and paternal) | Both brown |
Grandfathers' hair colour (maternal and paternal) | Both black |
Grandmothers' hair colour (maternal and paternal) | Both black |
Health of grandmothers (maternal and paternal) | Blood pressure and sugar diabetes |
Health of grandfathers (maternal and paternal) | Blood pressure |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All black |
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 | Johannesburg |
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 |