S – MS 4070, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | Black |
Age: | 34 |
Hair colour: | Brown |
Eye colour: | Brown |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.69m., 67kg., slim build. |
Face shape: | Round |
Other personal information: | Christian, South African nationality. Candidate is a very shy and introverted person but yet confident. She enjoys watching tv, cooking and jogging. She is currently unemployed but I have worked with children most of her working experience, currently just registered her own business and most importantly she is a prayerful woman. Non-smoker. Reason for donating: I believe children are a blessing and I want to contribute in that blessing by helping couples who can't conceive. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Honestly I grew up in a Christian family my late dad was am Evengelist, so yes I am a praying woman all of us at home, and because we are Africans we still practice our culture, but I personally don't believe in that but I don't judge anyone who practice them. |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Johannesburg, Gauteng |
Nationality | South African |
Where were you born? | North West |
What language(s) do you speak? | English, Setswana and Zulu |
Year of birth | 1989 |
Age | 34 |
Star sign | Aquarius |
Blood group (if known) | Not Selected |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I believe children are a blessing and I want to contribute in that blessing by helping couples who can't conceive. |
How do you best describe yourself? | An introvert, I am shy but confident at the same time I just enjoy my space. |
Relationship status | Serious relationship |
Physical profile
Race | Black/African |
Skin complexion | Brown |
Face shape | round |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Round |
Height in metres | 1.69m. |
Weight in kilograms | 67kg. |
What is your usual or ideal weight? | 60kg. |
Build and body shape | Curvy with a small waist |
Which body part is most sensitive to weight gain or loss? | Buttocks |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Light brown |
Hair type | Coarse |
Hair texture | medium |
Description of hands and fingers | Regular hands |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast size 32A, shoe size 5, size 32 |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Jennifer Lopez |
Siblings physical traits - hair and eye colour, height, weight and build | 4 siblings, their body shapes are smaller than me |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | Yes |
No. and ages of children (if applicable) | None |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | None of which I am aware. |
Smoker | never smoked |
Alcohol consumption per week. | Once a week |
Do you wear glasses? | Never |
How would you rate your sight? | 9 out of 10 |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Acne scars |
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 | Sinuses |
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? | No |
History of asthma | No |
Indicate any medication you are taking and reason for it. | Vitamin c and zinc due to reduce acne scars |
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? | Ectopic pregnancy operation |
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? | Running |
Have you excelled in any sports? | No |
What sports did you play at school? | Netball and gymnastics |
Professional and academic information
Occupation | Currently unemployed |
What is your ideal career/ occupation? | An artisan |
What are you doing to get to your desired profession in life? | Applying for it |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Engineering and commercial subjects |
What is the name of any course / degree completed? | Electrical engineering N3 |
Planned studies | Yes, finish my course |
In what aspects do you have a keen interest? | |
What type of books do you like to read? | |
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? | Family |
If you had unlimited resources and could save one thing on earth what would it be? | Family |
What are your views on religion and spirituality, and practiced religion? | Honestly I grew up in a Christian family my late dad was am Evengelist, so yes I am a praying woman all of us at home, and because we are Africans we still practice our culture, but I personally don't believe in that but I don't judge anyone who practice them. |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | |
Interests and hobbies | Jogging and baking |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Pilanesburg bush lodge |
What are your feelings on animal welfare? | They need to be taken good care of. |
Strength and weaknesses | Strong emotionally and my weaknesses is I trust easily |
What do others generally think of you? | Nice and humble person |
Favourite flower | White roses |
What is your favourite meal? | Pap and tin fish |
What is your favourite movie? | Act like a man |
What is your favourite book? | Rich dad poor dad |
Who is your favourite actor? | Kevin Hart |
Who is your favourite actress? | Megan Good |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | None |
What is your favourite perfume? | Lady million |
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? | Stay in with a loved one or book |
Are you musical or played any musical instruments? | No |
Are you more cultural or more adventurous? | More Adventurous |
Do you prefer indoors or outdoors? | Indoors |
Which weather do you prefer? | |
Are you more creative or analytical? |
Family information of genetic parents
Nationality for mother and father | South African |
Country of origin and ancestry for mother and father | South African |
Language spoken for mother and father | Setswana |
Professions for mother and father | Mom - pensioner, dad - deceased |
Achievements on an academic level for mother and father | |
Race for mother and father | Both black |
Natural hair colour for mother and father | Both black |
Eye colour for mother and father | Black |
Height for mother and father | |
Mother and father build | Slender |
Any specific defining traits for both parents | |
Are your parents still alive? | Only my mother |
If deceased, cause of death | Sick |
Age (if living, or age deceased) | Mom 61 this year |
Health status | |
Please indicate if any twins in your family and the relationship to you | None |
Please list any family members who have had cancer including aunts or uncles and on which family side | Maternal grandmother |
Any fertility problems in your family | None |
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 | Not Selected |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | None |
Any other comments regaring any health aspects in your family | Nothing |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | MGM - cancer, PGM - old age |
Current age or age of death | 71 |
Grandfathers still alive? | Only MGF |
If deceased, state cause of death | Old age |
Current age or age at time of death | Not indicated |
Grandfathers' eye colour (maternal and paternal) | Not indicated |
Grandmothers' eye colour (maternal and paternal) | Not indicated |
Grandfathers' hair colour (maternal and paternal) | Not indicated |
Grandmothers' hair colour (maternal and paternal) | None indicated |
Health of grandmothers (maternal and paternal) | None indicated |
Health of grandfathers (maternal and paternal) | None indicated |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | 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 indicated |
Egg donation stipulations
Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | No conditions |
Preferred town to donate | Johannesburg |
Towns available in which to donate - travel costs will be covered |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
Please advise any specific donation criteria other than those mentioned | |
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 |