S – LR 4331, Benoni
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | White |
Age: | 25 |
Hair colour: | Brown, straight hair |
Eye colour: | Brown |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.57m., 53kg., small build, have freckles, light skin tone. |
Face shape: | Round |
Other personal information: | Christian, South African nationality. Candidate is a friendly person with the softest heart. She enjoys taking care of other people and can be introverted. She is employed as a web designer and sales agent. She works very hard and enjoys what she does. She loves going to the gym and on adventures to new places. She is a very active person and somewhat of a neat freak. Non-smoker. Reason for donating: I would like to be an egg donor because I know a few ladies struggling to have children and If I am able to help anyone that is also struggling I would it would be the biggest pleasure. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I am a full time Christian, I pray everyday and go to church twice a week |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Benoni, Gauteng |
Nationality | South African |
Where were you born? | Rose Acres Hospital, JHB |
What language(s) do you speak? | Afrikaans & English |
Year of birth | 1998/03/09 |
Age | 25 |
Star sign | Pisces |
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 be an egg donor because I know a few ladies struggling to have children and If I am able to help anyone that is also struggling I would it would be the biggest pleasure. |
How do you best describe yourself? | I am compassionate, creative, determined, and well educated. Im warm hearted outgoing, friendly and word working. |
Relationship status | Single |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | round |
Nose shape defined by Wikipedia | Jewish/ Hawk - Thin and sharp |
Eye shape | Round Almond |
Height in metres | |
Weight in kilograms | |
What is your usual or ideal weight? | 50+- |
Build and body shape | Small and skinny but healthy. Small waist. |
Which body part is most sensitive to weight gain or loss? | Always gain weight first on my buttocks and breast then face and thighs, then rest of body. |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Light Brown |
Hair type | Straight |
Hair texture | Fine |
Description of hands and fingers | Skinny long fingers but small hands. |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast size B, shoe size 4 or 5, one dimple, freckles over my nose and here and there over my body. I do wear glasses though. |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | I was told at a stage that I look like Francesca Farago. |
Siblings physical traits - hair and eye colour, height, weight and build | Siblings all have brown hair and brown eyes. Im the shortest. Both siblings are atleast 10cm taller but we are all skinny with freckles . My hair is the finest and straightest the rest has thick curly wavy hair. |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | None |
Fertility issues | None of which I am aware |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | I only have IBS caused by previous relationship but no other health problems. |
Smoker | Ex-smoker |
Alcohol consumption per week. | Once a week or now and then |
Do you wear glasses? | Since a teen |
How would you rate your sight? | 50/50, cant see far |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Occasional acne because of stress or when I have my menstrual cycle |
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 | No |
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. | 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? | Nothing of which I am aware |
History of asthma | No |
Indicate any medication you are taking and reason for it. | None indicated |
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. | None |
Details of any operations? | Never had one |
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. | Lactose |
How often do you excercise? | Daily |
In which exercises or sports do you partake now? | Gym - fitness & body building |
Have you excelled in any sports? | Did relay, short distance sprints and played east gauteng hockey in school. |
What sports did you play at school? | Athletics and hockey |
Professional and academic information
Occupation | Web Designer |
What is your ideal career/ occupation? | IT |
What are you doing to get to your desired profession in life? | Working hard, doing courses and gaining as much knowledge as possible, |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Matric: Business, Accounting, Computer Application |
What is the name of any course / degree completed? | Web designer course, Marketing course, Wordpress Course. First aid, Fire fighting , health and safety |
Planned studies | Want to study Web Development |
In what aspects do you have a keen interest? | Designing |
What type of books do you like to read? | 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? | Cant remember score |
Behavioural traits
What is most important in life to you? | Happiness, family and success |
If you had unlimited resources and could save one thing on earth what would it be? | If I had the money I would save people from hunger. Children and animals I will help in anyway needed if I could |
What are your views on religion and spirituality, and practiced religion? | I am a full time Christian, I pray everyday and go to church twice a week |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | |
Interests and hobbies | Drawing, designing, fashion, gym, sport, reading etc |
What is your preferred holiday? | Beach |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | I have not been to a lot of places before |
What are your feelings on animal welfare? | If I had the finance I would open an animal welfare myself. Im an animal lover |
Strength and weaknesses | Im patient, kind, hard working, friendly but sometimes to soft, to honest and stress very easily. |
What do others generally think of you? | People apparently think I think to much of myself, but I dont. They also think I have a lot of money because of my style. And they think im rude for a nice word but when they get to know me they say im a very nice person and good listener. |
Favourite flower | Sunflower |
What is your favourite meal? | Seafood platter |
What is your favourite movie? | Beautiful Disaster |
What is your favourite book? | I dont have one |
Who is your favourite actor? | Keanu Reeves |
Who is your favourite actress? | Jeniffer Lopes |
What is your favourite colour? | Black & Emerald Green |
What is your favourite colour lipstick? | Brown |
What is your favourite perfume? | Alien |
Who is your favourite person? | My Mother |
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? | Love to listen music but cant sing or play instruments |
Are you more cultural or more adventurous? | More Adventurous |
Do you prefer indoors or outdoors? | Depending on the Situation |
Which weather do you prefer? | Hot |
Are you more creative or analytical? | Creative |
Family information of genetic parents
Nationality for mother and father | Both South African |
Country of origin and ancestry for mother and father | Both South Africans |
Language spoken for mother and father | Both Afrikaans |
Professions for mother and father | Mom - bookkeeper, dad - construction Manager |
Achievements on an academic level for mother and father | Mom - qualified bookkeeper |
Race for mother and father | Both white |
Natural hair colour for mother and father | Both brown |
Eye colour for mother and father | Mom - green, dad - brown |
Height for mother and father | Mom - 1.60m., dad - 1.65m. |
Mother and father build | Average size |
Any specific defining traits for both parents | None indicated |
Are your parents still alive? | Only my mother |
If deceased, cause of death | Dad - died of age |
Age (if living, or age deceased) | Mom - 48, dad - died age 88 |
Health status | Very Well |
Please indicate if any twins in your family and the relationship to you | Mother's cousin has twin girls. None others |
Please list any family members who have had cancer including aunts or uncles and on which family side | Paternal aunt and grandmother had cancer |
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? | MGF - died of heart attack. Father had blood clots on lungs |
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 | No |
Any other comments regaring any health aspects in your family | Father had arthritis |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | PGM - died of cancer |
Current age or age of death | MGM - 75 currently |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Heart attack |
Current age or age at time of death | 76 |
Grandfathers' eye colour (maternal and paternal) | Blue and brown |
Grandmothers' eye colour (maternal and paternal) | Both blue |
Grandfathers' hair colour (maternal and paternal) | Both brown |
Grandmothers' hair colour (maternal and paternal) | Blonde and brown |
Health of grandmothers (maternal and paternal) | One living, average |
Health of grandfathers (maternal and paternal) | Both were good when they were still alive |
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 | 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 | No |
Preferred town to donate | Pretoria |
Towns available in which to donate - travel costs will be covered | Pretoria |
Confirmation
I have only made myself available as an egg donor with baby2mom. | No |
Please advise any specific donation criteria other than those mentioned | Emerald Donars |
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 |