S – MK 5249, Cape Town
Generate PDF| Availability status: | Available now in Cape Town and Stellenbosch |
| Race: | White/ Caucasian |
| Age: | 21 |
| Hair colour: | Blonde |
| Eye colour: | Green |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | No |
| Other physical information: | 1.70m., 57 kg |
| Face shape: | Heart |
| Other personal information: | South African nationality, O+ blood group. Candidate aspires to be a criminologist. Light to non-smoker. Message to Recipient: I want to be an egg donor so that I can help a woman experience the joys of motherhood and a family. |
| Reproduction history: | No children and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | Im a Christian raised and I love learning about spiritual connections |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Strand |
| In which province do you live? | Western Cape |
| Nationality | South African |
| Where were you born? | Johannesburg |
| What language(s) do you speak? | English Afrikaans and Spanish |
| Year of birth | 2004 |
| Age | 21 |
| Star sign | Aries |
| Blood group (if known) | O+ |
| 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 be an egg donor so that I can help a woman experience the joys of motherhood and a family |
| How do you best describe yourself? | Energetic, bubbly and adventurous |
| Relationship status | Serious relationship |
Physical profile
| Race | White/ Caucasian |
| Skin complexion | Tanned |
| Face shape | Heart |
| Nose shape defined by Wikipedia | Greek - perfect straight nose |
| Eye shape | Round Almond |
| Height in metres | 1.70 |
| Weight in kilograms | 57 |
| What is your usual or ideal weight? | 56 |
| Build and body shape | Slim fit |
| Which body part is most sensitive to weight gain or loss? | Weight gain is thighs and weight loss is stomach |
| Eye colour | Green |
| Natural hair colour | Blonde |
| Hair colour as a child | Blonde |
| Hair type | Wavy |
| Hair texture | Fine |
| Description of hands and fingers | Hands and fingers are normal. Fingers are slim and long and palm is normal |
| Cup size | B |
| Shoe size | 5 |
| Are you left handed or right handed? | Ambidextrous |
| With celebrity do you most resemble - physically? | Jasmine Blackborow |
| How many siblings do you have? | 1 |
| Sibling 1 Hair Colour | Blonde |
| Sibling 1 Eye Colour | Blue |
| Sibling 1 Build | Slim fit. With hourglass figure |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 0 |
| Fertility issues | No fertility issues |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Healthy |
| Any current diseases? | No |
| Current health status lifestyle and/ or current diseases | Healthy |
| Smoker | 0 - 5 per day |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Never |
| How would you rate your sight? | 10 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | No |
| 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? | No |
| 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. | No |
| 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. | No medication. |
| 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? | No operations |
| 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? | A few times a week |
| In which exercises or sports do you partake now? | Muay thai and swimming |
| Have you excelled in any sports? | Yes I played hockey in school and motorcross biking in school. |
| What sports did you play at school? | Hockey, motorcross biking, swimmming, and kickboxing |
Professional and academic information
| Occupation | Marketing representative |
| What is your ideal career/ occupation? | Criminologist |
| What are you doing to get to your desired profession in life? | Studying |
| Do you have a matric and university exemption? | No matric |
| Subjects and grades or marks at school | English 65%, Maths 54%, Afrikaans 65%,Art 61%, Design 71%, Consumer Studies 65%, Life orientation 69% |
| What is the name of any course / degree completed? | None |
| Planned studies | Forensic psychology |
| In what aspects do you have a keen interest? | Art, psychology and law |
| What type of books do you like to read? | 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? | No |
Behavioural traits
| What is most important in life to you? | Family, trust, respect and enjoying it to the fullest |
| If you had unlimited resources and could save one thing on earth what would it be? | I would save snow tigers because they are going extinct |
| What are your views on religion and spirituality, and practiced religion? | Im a Christian raised and I love learning about spiritual connections |
| Childhood religion? | Christianity |
| Any specific achievements or aspects of recognition in your family | None of which I am aware. |
| Interests and hobbies | Art, adventure, traveling and muay thai |
| What is your preferred holiday? | International |
| If you were offered an all-inclusive holiday, what would it be? | A trip to a city I haven't experienced to explore its beauty. |
| Which interesting places have you visited? | Ive been to Mexico, Columbia and Brazil |
| What are your feelings on animal welfare? | I love animals and would go to lengths to protect them |
| Strength and weaknesses | Strengths - cooking, drawing, writing, planning, martial arts Weaknesses - following directions, singing, dancing, public speaking |
| What do others generally think of you? | Talkative, smart, open minded |
| Favourite flower | Dandelion |
| What is your favourite meal? | Lasangne |
| What is your favourite movie? | A dogs purpose |
| What is your favourite book? | Harry potter |
| Who is your favourite actor? | Johnie depp |
| Who is your favourite actress? | Margot robbie |
| What is your favourite colour? | Turquoise |
| What is your favourite colour lipstick? | Nude or red |
| What is your favourite perfume? | Red door |
| Who is your favourite person? | My boyfriend and my mom |
| 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? | No not 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? | cold, rain |
| Are you more creative or analytical? | creative |
Family information of genetic parents
| Nationality for mother and father | Mom - South African Dad - South African |
| Country of origin and ancestry for mother and father | Both parents are from South Africa |
| Language spoken for mother and father | English and afrikaans |
| Professions for mother and father | Mom - computer analysis Dad - electrician |
| Achievements on an academic level for mother and father | Unsure |
| Race for mother and father | Both parents are white |
| Natural hair colour for mother and father | Mom - dark brown Dad - ash blonde |
| Eye colour for mother and father | Mom - green Dad - blue |
| Height for mother and father | Mom - 1.68m. Dad - 1.89m. |
| Mother and father build | Mom - curvy Dad - tall and slender |
| Are your parents still alive? | Only my father |
| If deceased, cause of death | Mom passed away due to ilness caused by bacteria |
| Age (if living, or age deceased) | Mom - 40 Dad - 51 |
| Health status | Dad - healthy |
| Please indicate if any twins in your family | Yes |
| Details of twins | My dad is one of a twin |
| Any family members who have had cancer including aunts or uncles? | No |
| 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? | No |
| 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 | No |
| 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 | Family are very healthy and exercise regularly |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | No to Both |
| If deceased, state cause of death | MGM - passed away from old age MGF - passed away in a car accident PGM - passed away from old age PGF- passed away from covid |
| Current age or age of death | Unsure |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Stated above |
| Current age or age at time of death | Unsure |
| Grandfathers' eye colour (maternal and paternal) | MGF - blue PGF - blue |
| Grandmothers' eye colour (maternal and paternal) | MGM - brown PGM - blue |
| Grandfathers' hair colour (maternal and paternal) | MGF - brown PGF - blonde |
| Grandmothers' hair colour (maternal and paternal) | MGM - brown PGM - red |
| Health of grandmothers (maternal and paternal) | Fairly healthy when alive |
| Health of grandfathers (maternal and paternal) | Fairly healthy when 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 is the same as mine |
| 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 | All family members were healthy |
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 | Stellenbosch |
| Towns available in which to donate - travel costs will be covered | Cape Town, Stellenbosch |
Confirmation
| I have only made myself available as an egg donor with baby2mom. | Yes |
| Please advise any specific donation criteria other than those mentioned | No |
| 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 |
