S – MM 4844, North West
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria - travel costs |
Race: | Black |
Age: | 21 |
Hair colour: | Black |
Eye colour: | Black |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.55m., 56kg., dark skinned, small heart shaped lips |
Face shape: | Diamond |
Other personal information: | Christian, South African nationality, Candidate enjoys any interested in art: drawing, painting, and reciting poems. She enjoys reading and is employed as an office administrator. Non-smoker. Reason for donating: I have seen the pain of infertility and would like to be able to help. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I'm a Christian |
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Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | North West |
Nationality | South african |
Where were you born? | Baragwanath Hospital |
What language(s) do you speak? | English, Sesotho, isiXhosa, isiZulu and Tswana |
Year of birth | |
Age | 21 |
Star sign | Aquarius |
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 be an egg donor because I have an aunt who couldn't have babies of her own no matter how much she tried. Because she didn't have funds to even be a recipient, I saw sadness in her eyes at every family gathering when everyone who had their children sitting up on their laps or doing family activities. She's has so many miscarriages and she still has clothes of babies she bought and stil isn't willing to let go. I also understand that it is people who really are desperate for children that have the most love and time. And to my recipient, i want to say... You'll be great parent(s). |
How do you best describe yourself? | I love art and music, I love travelling and food. I am a hard worker and I put 100% effort in everything I do. I love spending time with people. I am very confident and my love language is acts of service and words of affirmation. |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Brown |
Face shape | -1 |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Almond |
Height in metres | 1.55 |
Weight in kilograms | 56 |
What is your usual or ideal weight? | 57 |
Build and body shape | Pear shape |
Which body part is most sensitive to weight gain or loss? | Stomach |
Eye colour | Black |
Natural hair colour | Black |
Hair colour as a child | Black |
Hair type | Wavy |
Hair texture | medium |
Description of hands and fingers | I have conic hand type |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | I wear size 5 shoes, 32A breast cup, neither freckles nor dimples. |
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 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 | Good health, no diseases |
Smoker | Ex-smoker |
Alcohol consumption per week. | |
Do you wear glasses? | Since Early Adulthood |
How would you rate your sight? | 6/10 |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Acnes but it faded |
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 | None indicated |
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 indicated |
Any physical handicaps or deformaties? If yes, please state. | None indicated |
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. | N/A |
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. | 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? | Cardio, palates |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Tracker/ athlete runner |
Professional and academic information
Occupation | Public Relations graduate. |
What is your ideal career/ occupation? | Safety officer |
What are you doing to get to your desired profession in life? | Currently saving to study further more |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Life Sciences, Geography, mathematical literacy, English,sesotho, history, life orientation |
What is the name of any course / degree completed? | Public Relations |
Planned studies | |
In what aspects do you have a keen interest? | |
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? | No |
Behavioural traits
What is most important in life to you? | Humanity |
If you had unlimited resources and could save one thing on earth what would it be? | My family |
What are your views on religion and spirituality, and practiced religion? | I'm a Christian |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | |
Interests and hobbies | |
What is your preferred holiday? | Stay at Home, Beach, City |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | |
What are your feelings on animal welfare? | Animals do mstter |
Strength and weaknesses | I'm a quick thinker, good communicator and a problem solver. I fail to ask for help. |
What do others generally think of you? | That I'm too kind and naive for this world |
Favourite flower | Lillies |
What is your favourite meal? | Beef stew and dumplings |
What is your favourite movie? | The Great Gatsby |
What is your favourite book? | The power of habit |
Who is your favourite actor? | Kevin Hart |
Who is your favourite actress? | Meagan Good |
What is your favourite colour? | Red |
What is your favourite colour lipstick? | Rouge |
What is your favourite perfume? | Yardley Gorgeous at Dusk Eau De Parfum |
Who is your favourite person? | 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? | Yes |
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? | Analytical |
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 | Sesotho |
Professions for mother and father | Mom - pre school teacher, dad - carpenter |
Achievements on an academic level for mother and father | Mom - higher certificate in pre school education |
Race for mother and father | Black |
Natural hair colour for mother and father | Black |
Eye colour for mother and father | Black, brown for dad |
Height for mother and father | 5.4 |
Mother and father build | |
Any specific defining traits for both parents | Both fair skinned, average body type |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | 50 and 57 |
Health status | Very good |
Please indicate if any twins in your family and the relationship to you | Yes (cousins) |
Please list any family members who have had cancer including aunts or uncles and on which family side | None indicated |
Any fertility problems in your family | Yes |
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 | None indicated |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Diabetes |
Current age or age of death | 87 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Natural death |
Current age or age at time of death | 21 |
Grandfathers' eye colour (maternal and paternal) | Brown |
Grandmothers' eye colour (maternal and paternal) | Black |
Grandfathers' hair colour (maternal and paternal) | Black |
Grandmothers' hair colour (maternal and paternal) | Brown |
Health of grandmothers (maternal and paternal) | Not indicated |
Health of grandfathers (maternal and paternal) | Not indicated |
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 | Someone mentally, physically and financially able to care for a child |
Preferred town to donate | Johannesburg |
Towns available in which to donate - travel costs will be covered | Johannesburg, Pretoria |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
Please advise any specific donation criteria other than those mentioned | N/A |
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 |