S – NF 4802, Pretoria
Generate PDF| Availability status: | Available now in Pretoria |
| Race: | Coloured |
| Age: | 26 |
| Hair colour: | Brown |
| Eye colour: | Brown |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.65m., 81kg., round face, big smile. |
| Face shape: | Round |
| Other personal information: | South African nationality. Candidate loves learning. She has just graduated with her second qualification. She prefers reading and smaller crowns, but enjoys being with friends. |
| Reproduction history: | No children and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | Everyone should be allowed to freely practice their beliefs as long as it doesn't negatively impact others |
Category: Active Donor
Additional donor information
Initial information
| In which town and province do you live? | Pretoria, Gauteng |
| Nationality | Coloured |
| Where were you born? | Port Elizabeth |
| What language(s) do you speak? | English and Afrikaans |
| Year of birth | 1998 |
| Age | 26 |
| Star sign | Pisces |
| 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? | Im young and know im still pursuing my career. But would love to help a wanting couple start their own family |
| How do you best describe yourself? | Best word to describe myself is curious. I love learning, reading and asking questions. Im usually reserved but can talk the ear off of the right person. |
| Relationship status | Serious relationship |
Physical profile
| Race | Coloured/ Mixed Race |
| Skin complexion | Fair |
| Face shape | round |
| Nose shape defined by Wikipedia | Roman - Convex undulating nose |
| Eye shape | Round Almond |
| Height in metres | 1.65 |
| Weight in kilograms | 81 |
| What is your usual or ideal weight? | 83 |
| Build and body shape | Slightly curvy |
| Which body part is most sensitive to weight gain or loss? | Torso |
| Eye colour | Brown |
| Natural hair colour | Brown |
| Hair colour as a child | Born blonde but darken to brown |
| Hair type | Wavy |
| Hair texture | medium |
| Description of hands and fingers | Fair colour, standard though index has a slight inward curve |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast 36B, size 6 shoe, freckles few scattered over body not many |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Selena |
| Siblings physical traits - hair and eye colour, height, weight and build | black /brown hair, brown eyes, brothers are taller, sister same height, brother's skinner, sister average weight |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. and ages of children (if applicable) | 0 |
| Fertility issues | None |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Current health status lifestyle and/ or current diseases | Healthy |
| Smoker | never smoked |
| Alcohol consumption per week. | 1 wine glass |
| Do you wear glasses? | Since last year |
| How would you rate your sight? | 9/10 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Mild hormal acne |
| 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 | Seasonal |
| 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? | None |
| History of asthma | No |
| Indicate any medication you are taking and reason for it. | Birth control |
| 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. | Halaal |
| How often do you excercise? | When I Get A Chance |
| In which exercises or sports do you partake now? | Home work out |
| Have you excelled in any sports? | No |
| What sports did you play at school? | Tennis |
Professional and academic information
| Occupation | Pharmacist Intern |
| What is your ideal career/ occupation? | Clinical pharmacist |
| What are you doing to get to your desired profession in life? | Completing internship |
| Do you have a matric and university exemption? | Matric and Exemption |
| Subjects and grades or marks at school | Physics, Pure Mathematics, Life Science, Geography. Always in top 3 in school |
| What is the name of any course / degree completed? | Bachelor's Degree in Pharmacy |
| Planned studies | Clinical Pharmacy programme |
| In what aspects do you have a keen interest? | Health ans physiology |
| What type of books do you like to read? | Fiction |
| 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? | Not tested |
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? | Gaza |
| What are your views on religion and spirituality, and practiced religion? | Everyone should be allowed to freely practice their beliefs as long as it doesn't negatively impact others |
| Childhood religion? | Islamic |
| Any specific achievements or aspects of recognition in your family | Multiple qualified nurses and a radiographer |
| Interests and hobbies | I love reading fantasy books |
| What is your preferred holiday? | Beach |
| If you were offered an all-inclusive holiday, what would it be? | |
| Which interesting places have you visited? | Durban |
| What are your feelings on animal welfare? | Anyone who chooses to get a pet should absolutely care for them. They're as innocent as children |
| Strength and weaknesses | Good at school not great at driving |
| What do others generally think of you? | Very rational and great to have around in a crisis |
| Favourite flower | Sunflower |
| What is your favourite meal? | Love calamari |
| What is your favourite movie? | As above so beloq |
| What is your favourite book? | Harry potter ans the order of the Phoenix |
| Who is your favourite actor? | Mark raffalo |
| Who is your favourite actress? | Emma Watson |
| What is your favourite colour? | Purple |
| What is your favourite colour lipstick? | Nude brown |
| What is your favourite perfume? | Opium |
| Who is your favourite person? | My bestfriend.. |
| 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? | No |
| Are you more cultural or more adventurous? | More Adventurous |
| Do you prefer indoors or outdoors? | Depending on the Situation |
| Which weather do you prefer? | Both |
| Are you more creative or analytical? | Analytical, Creative |
Family information of genetic parents
| Nationality for mother and father | Both South African |
| Country of origin and ancestry for mother and father | South African |
| Language spoken for mother and father | English and Afrikaans |
| Professions for mother and father | Mom - catering company, dad - taxi driver |
| Achievements on an academic level for mother and father | None |
| Race for mother and father | Coloured |
| Natural hair colour for mother and father | Black and brown |
| Eye colour for mother and father | Brown |
| Height for mother and father | 1.64 and 1.7m. |
| Mother and father build | Curvy and skinny |
| Any specific defining traits for both parents | Mixed |
| Are your parents still alive? | Yes to Both |
| If deceased, cause of death | Not applicable |
| Age (if living, or age deceased) | 54 |
| Health status | Healthy |
| 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 aunt |
| 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? | MGM has blood pressure issues and asthma. |
| 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? | None |
| 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 | None |
| Any physical deformaties or handicaps? If yes, please state | None |
| History of asthma | Only my mother |
| Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | None |
| Any other comments regaring any health aspects in your family | Grandad is like 89 and hard of hearing and has cateracs but otherwise healthy |
| Alcoholism / substance abuse | Only my father |
| Grandmothers still alive? | Yes to Both |
| If deceased, state cause of death | Not applicable |
| Current age or age of death | Not indicated |
| Grandfathers still alive? | Yes to Both |
| If deceased, state cause of death | Not applicable |
| Current age or age at time of death | Not indicated |
| Grandfathers' eye colour (maternal and paternal) | Brown |
| Grandmothers' eye colour (maternal and paternal) | Brown/green |
| Grandfathers' hair colour (maternal and paternal) | Brown |
| Grandmothers' hair colour (maternal and paternal) | Brown |
| Health of grandmothers (maternal and paternal) | Old age issues: blood pressure and asthma |
| Health of grandfathers (maternal and paternal) | Deaf and blind at 89 |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All coloured |
| 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 |
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 | Pretoria |
| Towns available in which to donate - travel costs will be covered | 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 | I have just done my health check and all clear |
| 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 |
