S – ND 1750, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria, coastal regions - travel costs |
Race: | African/ Black |
Age: | 30 |
Hair colour: | Black Afro hair |
Eye colour: | Brown eyes |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.6m., 56kg., medium skin complexion, small build. |
Face shape: | Oval |
Other personal information: | South African nationality, Zulu ethnicity, Gemini star sign, A- blood group, Christian. Candidate is employed in social work, assisting with HIV counselling. She loves reading and playing tennis. Non-smoker. Message to recipient: I would love to help you. |
Reproduction history: | 1 child and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Christian |
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SKU: 24814
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? | Devon Springs |
What language(s) do you speak? | Zulu, English |
Year of birth | 1992 |
Age | 30 |
Star sign | Gemini |
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? | To help those in need |
How do you best describe yourself? | Go getter |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Medium |
Face shape | oval |
Nose shape defined by Wikipedia | Roman - Convex undulating nose |
Eye shape | Round Almond |
Height in metres | 1.6m |
Weight in kilograms | 56kg |
What is your usual or ideal weight? | 50kg |
Build and body shape | small |
Which body part is most sensitive to weight gain or loss? | tummy |
Eye colour | Brown |
Natural hair colour | Black |
Hair colour as a child | black |
Hair type | Afro |
Hair texture | Thick |
Description of hands and fingers | I have nice long fingers and very soft hands. |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | I am a short good looking young lady |
Are you left handed or right handed? | Right 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 | I am in good health |
Smoker | Not Selected |
Alcohol consumption per week. | n/a |
Do you wear glasses? | Not Selected |
How would you rate your sight? | Very good |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | 9 hours |
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 allergies |
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 |
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? | i am happy to be the one helping you |
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. | None |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | No |
How often do you excercise? | Not Selected |
In which exercises or sports do you partake now? | Aerobicks and karate |
Have you excelled in any sports? | No |
What sports did you play at school? | Karate and tennis ball |
Professional and academic information
Occupation | HIV testing and councelling |
What is your ideal career/ occupation? | Social working |
What are you doing to get to your desired profession in life? | I am saving money so I can further my studies |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Good marks |
What is the name of any course / degree completed? | I completed adherence and HIV testing and counselling |
Planned studies | Social working |
In what aspects do you have a keen interest? | Social |
What type of books do you like to read? | |
Would you prefer to read the book or watch the movie? | Read the Book |
Do you know if your IQ was ever tested and the score please? | No |
Behavioural traits
What is most important in life to you? | Success |
If you had unlimited resources and could save one thing on earth what would it be? | Water |
What are your views on religion and spirituality, and practiced religion? | Christian |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | Not now |
Interests and hobbies | Reading and playing tennis |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Not at all |
What are your feelings on animal welfare? | I am distressed that human beings do not value them. |
Strength and weaknesses | My job |
What do others generally think of you? | Loving and helpful |
Favourite flower | Losing friends or loved ones |
What is your favourite meal? | Seafood |
What is your favourite movie? | Salt |
What is your favourite book? | If tomorow comes |
Who is your favourite actor? | Dolph Lundgreen |
Who is your favourite actress? | Angelina Jolie |
What is your favourite colour? | Royal blue |
What is your favourite colour lipstick? | High school |
What is your favourite perfume? | Few close loved ones |
Who is your favourite person? | My son |
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? | I love music but I have never playd any music |
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? | |
Are you more creative or analytical? |
Family information of genetic parents
Nationality for mother and father | Both South African |
Country of origin and ancestry for mother and father | Both South African |
Language spoken for mother and father | Zulu |
Professions for mother and father | Mom - nurse, dad - was a motor mechanic |
Achievements on an academic level for mother and father | Mom - has a degree |
Race for mother and father | Both black |
Natural hair colour for mother and father | Both black |
Eye colour for mother and father | Both brown |
Height for mother and father | Mom - 1.6m., dad - 1.7m. |
Mother and father build | Mom - small, dad - was medium built |
Any specific defining traits for both parents | Mom - short, beautiful woman with long legs, dad - was a tall and very good looking man with big brown eyes. |
Are your parents still alive? | Only my mother |
If deceased, cause of death | Dad passed away in a car accident. |
Age (if living, or age deceased) | Mom - 52, dad - was 50 when he passed away |
Health status | Good |
Please indicate if any twins in your family and the relationship to you | No |
Please list any family members who have had cancer including aunts or uncles and on which family side | no one has had cancer in my familly |
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? | None |
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 To Both |
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 | |
Any other comments regaring any health aspects in your family | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Yes to Both |
If deceased, state cause of death | They are still alive |
Current age or age of death | MGM - 81, PGM - 84 |
Grandfathers still alive? | Yes to Both |
If deceased, state cause of death | Not applicable |
Current age or age at time of death | MGF - 87, PGF - late 90's |
Grandfathers' eye colour (maternal and paternal) | Both brown |
Grandmothers' eye colour (maternal and paternal) | Both brown |
Grandfathers' hair colour (maternal and paternal) | Both black |
Grandmothers' hair colour (maternal and paternal) | Both black |
Health of grandmothers (maternal and paternal) | Good but now that they are old they complain |
Health of grandfathers (maternal and paternal) | Very good |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All African |
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 | I am from a family of good health and we are from small to medium build, I have no concerns at all. |
Egg donation stipulations
Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | Yes |
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 | None |
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 |