S – LM 4564, Bloemfontein
Generate PDF| Availability status: | Available now in Bloemfontein |
| Race: | Black |
| Age: | 30 |
| Hair colour: | Black & curly |
| Eye colour: | Brown |
| Has children: | Yes |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.6m., 72kg., brown skin. |
| Face shape: | Round |
| Other personal information: | South African nationality, B+ blood group. Candidate holds a post graduate diploma in Risk management NQF Level 8. Non-smoker. Reason for donating: I want to help. |
| Reproduction history: | Four children including a set of twins. No donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | I believe in a higher power but chose not to categorise it and respect other people's views equally in their religious beliefs. |
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Category: Active Donor
Additional donor information
Initial information
| In which town and province do you live? | Bloemfontein, Free State |
| Nationality | South African |
| Where were you born? | North west,Mahikeng |
| What language(s) do you speak? | English, Sotho, Zulu and Tswana |
| Year of birth | 1993 |
| Age | 30 |
| Star sign | Pisces |
| Blood group (if known) | B+ |
| Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I love helping people and will be helping a couple to have a family. |
| How do you best describe yourself? | I am an extroverted introvert with a bubbly side, forever curious and have a hunger to always grow in all aspects of life from academics, personal relations and work related knowledge and skills. I am also very adventurous and have a think outside the. Box mentality. |
| Relationship status | Married |
Physical profile
| Race | Black/African |
| Skin complexion | Brown |
| Face shape | round |
| Nose shape defined by Wikipedia | Snub |
| Eye shape | Not Selected |
| Height in metres | 1.6m. |
| Weight in kilograms | 72kg. |
| What is your usual or ideal weight? | 60kg. |
| Build and body shape | Athletic build and body shape |
| Which body part is most sensitive to weight gain or loss? | Stomach |
| Eye colour | Brown |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Curly |
| Hair texture | medium |
| Description of hands and fingers | Averagly medium hands for a female. |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup 32A, size 3 shoe, one dimple and slight freckles on my face. |
| 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 | never smoked |
| Alcohol consumption per week. | 0 |
| Do you wear glasses? | Never |
| How would you rate your sight? | I would say it's ok |
| 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? | C section 20 August 2022 when I was giving birth to the twins |
| 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. | None |
| How often do you excercise? | A few times a week |
| In which exercises or sports do you partake now? | Long walks, lunges, running and I have a stationary cycle bike at home. |
| Have you excelled in any sports? | Yes |
| What sports did you play at school? | 100 M, 200 M, 5 KM runs, high jump, long jump and basketball. |
Professional and academic information
| Occupation | Retail sales assistant |
| What is your ideal career/ occupation? | Junior/ middle management as a risk manager or starting my own business and being my own boss. |
| What are you doing to get to your desired profession in life? | I have currently been selected for a graduate program in China for 2024 which will bring me closer to my dream. |
| Do you have a matric and university exemption? | Matric and Exemption |
| Subjects and grades or marks at school | 73% |
| What is the name of any course / degree completed? | Advanced diploma in business management NQF Level 7 |
| Planned studies | Currently doing a post grad in Risk management, will be doing Masters in business administration in 2025 |
| In what aspects do you have a keen interest? | Analytics, economics, risk and auditing |
| What type of books do you like to read? | Fiction, Non-fiction |
| 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? | Not that I know of |
Behavioural traits
| What is most important in life to you? | Financial stability for my children. |
| If you had unlimited resources and could save one thing on earth what would it be? | Water, because without it there is no life. |
| What are your views on religion and spirituality, and practiced religion? | I believe in a higher power but chose not to categorise it and respect other people's views equally in their religious beliefs. |
| Childhood religion? | Christianity |
| Any specific achievements or aspects of recognition in your family | Academic and sports achievemets including other activities like poetry and public speaking. |
| Interests and hobbies | Reading, swimming, binge watching series, spending time with family and doing outdoor activities |
| What is your preferred holiday? | Beach, Mountains, City, International |
| If you were offered an all-inclusive holiday, what would it be? | |
| Which interesting places have you visited? | Clarence in the Free State |
| What are your feelings on animal welfare? | I am a natural animal lover of all kinds of animals |
| Strength and weaknesses | I am bold, not easily intimidated, always speak my mind, being resourceful and I think my weakness would be trusting easily as I always give people the benefit of the doubt. |
| What do others generally think of you? | Loving, bold and ambitious introvert |
| Favourite flower | Red rose |
| What is your favourite meal? | Ribs and wings |
| What is your favourite movie? | Brother bear |
| What is your favourite book? | Dare to succeed |
| Who is your favourite actor? | Johnny Depp |
| Who is your favourite actress? | Angelina Jolie |
| What is your favourite colour? | Red |
| What is your favourite colour lipstick? | Matte maroon |
| What is your favourite perfume? | Farway |
| Who is your favourite person? | Husband |
| Are you more introverted or extroverted? | Introverted |
| 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? | Wanted to but never did |
| 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? | Hot, Rain, Both |
| Are you more creative or analytical? | Analytical, Creative |
Family information of genetic parents
| Nationality for mother and father | South African |
| Country of origin and ancestry for mother and father | South Africa |
| Language spoken for mother and father | Tswana |
| Professions for mother and father | Mom - Agricultural sciences, dad -sound engineer and farmer |
| Achievements on an academic level for mother and father | Both have degrees |
| 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 | Mom - 5 foot, dad - 6 foot |
| Mother and father build | Mom - average, dad - athletic |
| Any specific defining traits for both parents | Mom - light skinned, dad - brown skin |
| Are your parents still alive? | Yes to Both |
| If deceased, cause of death | Not applicable |
| Age (if living, or age deceased) | Mom - 53, dad - 66 |
| Health status | Both generally healthy |
| Please indicate if any twins in your family and the relationship to you | Yes |
| Please list any family members who have had cancer including aunts or uncles and on which family side | None of which I am ware |
| 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? | None of which I am aware. |
| 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 |
| 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 | 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 | No |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | Only MGM |
| If deceased, state cause of death | PGM - natural old age causes |
| Current age or age of death | MGM - 78, PGM - 84 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | MGF - was poisoned in his 30s, PGF - died of old age |
| Current age or age at time of death | MGF - 33, PGF - 91 |
| Grandfathers' eye colour (maternal and paternal) | Brown |
| 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) | Generally good |
| Health of grandfathers (maternal and paternal) | Generally good |
| 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 | bloemfontein |
| 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 |
