S – MM 5029, Kempton Park
Generate PDF| Availability status: | Available now in Pretoria and Johannesburg |
| Race: | Black |
| Age: | 19 |
| Hair colour: | Black |
| Eye colour: | Dark Brown |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.61m., 78kg., dark skin complexion. |
| Face shape: | Round |
| Other personal information: | Zimbabwean. Candidate is employed as a beauty therapist. She loves to sing and is a friendly, talkative and bubbly person. Non-smoker. Reason for donating: I wanted to become a surrogate mother but l think donation eggs would be better. I love children so l want everyone to get the chance of having them. |
| Reproduction history: | No children and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | I don't really have anything to say |
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Category: Active Donor
Additional donor information
Initial information
| In which town and province do you live? | Kempton Park |
| Nationality | Zimbabwean |
| Where were you born? | In Zimbabwe |
| What language(s) do you speak? | English, Shona, Zulu, Ndebele |
| Year of birth | 2004 |
| Age | 19 |
| Star sign | Libra |
| 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 love children so l want everyone to have a chance of having them. |
| How do you best describe yourself? | I am bubbly ☺️ friendly, loving, ambitious and hardworking. I am very active and full of energy. |
| Relationship status | Single |
Physical profile
| Race | Black/African |
| Skin complexion | Dark |
| Face shape | Round |
| Nose shape defined by Wikipedia | African - wide nostrilled nose |
| Eye shape | Round Almond |
| Height in metres | 1.61 |
| Weight in kilograms | 78 |
| What is your usual or ideal weight? | 78 |
| Build and body shape | I am curvy |
| Which body part is most sensitive to weight gain or loss? | My stomach and my hips |
| Eye colour | Black |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Afro |
| Hair texture | medium |
| Description of hands and fingers | I have short and chubby fingers |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | l have a dimples |
| Cup size | 36B |
| Shoe size | 4/ 5 |
| Are you left handed or right handed? | Ambidextrous |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 0 |
| Fertility issues | No |
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 | I am anemic |
| Smoker | never smoked |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Never |
| How would you rate your sight? | 8 |
| 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. | 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? | Non |
| 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? | Fat burning |
| Have you excelled in any sports? | No |
| What sports did you play at school? | Tennis |
Professional and academic information
| Occupation | Beauty therapy |
| What is your ideal career/ occupation? | Beauty therapist |
| What are you doing to get to your desired profession in life? | I am working everyday to build clientele |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | English, Maths, Geography, History, Science |
| What is the name of any course / degree completed? | Beauty therapy |
| Planned studies | I want to study more about beauty therapy |
| In what aspects do you have a keen interest? | In beauty |
| Would you prefer to read the book or watch the movie? | Watch the Movie |
| Do you know if your IQ was ever tested and the score please? | No |
Behavioural traits
| What is most important in life to you? | My career |
| If you had unlimited resources and could save one thing on earth what would it be? | Relationship with my family |
| What are your views on religion and spirituality, and practiced religion? | I don't really have anything to say |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | Unity |
| Interests and hobbies | Music, beauty and being out doors |
| If you were offered an all-inclusive holiday, what would it be? | Going on a holiday vacation with my family and enjoy nature |
| Which interesting places have you visited? | Victoria Falls |
| What are your feelings on animal welfare? | They are same as children to me |
| Strength and weaknesses | My weakness is love and my strength is confidence |
| What do others generally think of you? | They say l am happy people and l go too hard on myself when it come to my career |
| Favourite flower | Lavender |
| What is your favourite meal? | Beef lasagne with extra mozzarella cheese |
| What is your favourite movie? | Wednesday |
| What is your favourite book? | I don't read |
| Who is your favourite actor? | Yang Yang |
| Who is your favourite actress? | Zhao Lusi |
| What is your favourite colour? | Black |
| What is your favourite colour lipstick? | Cherry red |
| What is your favourite perfume? | I love sweet perfume not strong l have a lot so l don't have a favourite |
| Who is your favourite person? | My sister |
| 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? | I love singing |
| Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
| Do you prefer indoors or outdoors? | Indoors |
| Which weather do you prefer? | |
| Are you more creative or analytical? | creative |
Family information of genetic parents
| Nationality for mother and father | Both Zimbabwean |
| Country of origin and ancestry for mother and father | Zimbabwe |
| Language spoken for mother and father | Ndebele and shona |
| Professions for mother and father | Caregiver and engineering |
| Achievements on an academic level for mother and father | Both went to college |
| Race for mother and father | Both black |
| Natural hair colour for mother and father | Both black |
| Eye colour for mother and father | Both Dark brown |
| Height for mother and father | Mom is 162cm and dad is 166cm |
| Mother and father build | Both Normal |
| Any specific defining traits for both parents | Mom is quiet and dad is talkative |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | Mom - 42, Dad - 52 |
| Health status | Mom has high blood pressure and dad doesn't other than that they are both healthy |
| Please indicate if any twins in your family | No |
| 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 | No |
| Alcoholism / substance abuse | Only my father |
| Grandmothers still alive? | Only PGM |
| If deceased, state cause of death | Unknown |
| Current age or age of death | 82 |
| Grandfathers still alive? | Only PGF |
| If deceased, state cause of death | Unknown |
| Current age or age at time of death | 88 |
| Grandfathers' eye colour (maternal and paternal) | Dark brown |
| Grandmothers' eye colour (maternal and paternal) | Dark brown |
| Grandfathers' hair colour (maternal and paternal) | Black |
| Grandmothers' hair colour (maternal and paternal) | Black |
| Health of grandmothers (maternal and paternal) | PGM - healthy |
| Health of grandfathers (maternal and paternal) | PGF - healthy |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Both black |
| Any genetic health or psychological concerns worth noting regarding your grandparents | No |
| Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | No |
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 | Cape Town, Johannesburg, Pretoria, 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 | 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 |
