A - NM 4904, Howick

A – NM 4904, Howick

Availability status:	Available now in Durban and Umhlanga
Race:	White/ Caucasian
Age:	27
Hair colour:	Brown
Eye colour:	Brown
Has children:	Yes
Smoker:	Ex-smoker
Proven donor	Yes
Post matric studies:	No
Other physical information:	1.63m., 75kg., medium build.
Face shape:	Round
Other personal information:	South African nationality, A+ blood type. Candidate enjoys movies, books and playing with children. Non-smoker. Reason for donating: I want every woman to be able to experience the joy of becoming a mother
Reproduction history:	Two children and proven donor.
What are your views on religion and spirituality, and practiced religion?	Im open to religion and dont judge

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Category: Active Donor

Additional donor information

Initial information

Physical profile

Race	White/ Caucasian
Skin complexion	Fair
Nose shape defined by Wikipedia	Roman - Convex undulating nose
Eye shape	Round Almond
Height in metres	1.63
Weight in kilograms	75
What is your usual or ideal weight?	70
Build and body shape	Medium built
Which body part is most sensitive to weight gain or loss?	Stomach
Eye colour	Brown
Natural hair colour	Brown
Hair colour as a child	Brown
Hair type	Curly
Hair texture	Thick
Description of hands and fingers	Long and medium built hands
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc	Dimple on right side.
Cup size	C
Shoe size	5/6
Are you left handed or right handed?	Right handed
How many siblings do you have?	1
Sibling 1 Hair Colour	Brown
Sibling 1 Eye Colour	Brown
Sibling 1 Build	Height: 1.75m, Weight: 95kg

Reproductive information

Health of egg donor

Professional and academic information

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?	Animals
What are your views on religion and spirituality, and practiced religion?	Im open to religion and dont judge
Childhood religion?	Christian
Interests and hobbies	Movies, books, playing with children
If you were offered an all-inclusive holiday, what would it be?	Beach holiday
Which interesting places have you visited?	Beach and Karoo
What are your feelings on animal welfare?	I am very sensitive when it comes to animals, I love them.
Strength and weaknesses	Strengths - good listener and supporter, confident; weakness - I give up fast
What do others generally think of you?	I am energetic and support people when they need it most
Favourite flower	Rose
What is your favourite meal?	Home made food
What is your favourite movie?	Harry potter
What is your favourite book?	Harry potter
Who is your favourite actor?	Nicolas cage
Who is your favourite actress?	Megan Fox
What is your favourite colour?	Black and green
What is your favourite colour lipstick?	Dont wear lipstick
What is your favourite perfume?	Red door
Who is your favourite person?	My kids, husband and parents
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?	No
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?	cold
Are you more creative or analytical?	creative

Family information of genetic parents

Nationality for mother and father	Both South African
Country of origin and ancestry for mother and father	Both South Africa
Language spoken for mother and father	Mom - Afrikaans, dad - english
Professions for mother and father	Mom - Human resource, dad - diesel mechanic foreman
Achievements on an academic level for mother and father	Matric
Race for mother and father	White
Natural hair colour for mother	Brown
Eye colour for mother	Brown
Height for mother and father	Mom - 1.7m., dad - 1.8m.
Mother and father build	Mom - slim and tall, dad - medium and tall
Any specific defining traits for both parents	Unknown
Are your parents still alive?	Yes to Both
Age (if living, or age deceased)	Mom - 47, dad - 54
Health status	Healthy
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	No To Both
Grandmothers still alive?	Only MGM
If deceased, state cause of death	Not indicated
Current age or age of death	Not indicated
Grandfathers still alive?	No to Both
If deceased, state cause of death	MGF - accident, PGF - old age
Current age or age at time of death	Unknown
Grandfathers' hair colour (maternal)	Brown
Health of grandmothers (maternal and paternal)	Healthy
Health of grandfathers (maternal and paternal)	Healthy
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents	All white
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

Confirmation

In which town do you live?	Howick
In which province do you live?	KwaZulu-Natal
Nationality	South african
Where were you born?	Evander
What language(s) do you speak?	Afrikaans, English
Year of birth	1997
Age	27
Star sign	Aquarius
Blood group (if known)	A+
Why do you want to be an egg donor and if you had a message for your recipient what would it be?	I want every woman to be able to experience the joy of becoming a mother.
How do you best describe yourself?	I am fun, outgoing, get along with people, firendly motivated
Relationship status	Married
Have you donated eggs before?	No

Are you a virgin?	No
Ever miscarried?	No
No. of children	2
Child 1 Date of Birth	01/01/1970
Child 2 Date of Birth	01/01/1970
Fertility issues	None

Are you a twin?	No
Are you adopted?	No
Please list	None
Smoker	Ex-smoker
Alcohol consumption per week.	1_drink
Do you wear glasses?	Never
How would you rate your sight?	7
Have you had any cancer?	No
Have you had any heart problems?	No
History of asthma	No
Have you ever been addicted to any substances?	No
Details of any operations?	Had my tubes tied in 2017 at age 20
How often do you excercise?	A few times a week
In which exercises or sports do you partake now?	At home exercise
Have you excelled in any sports?	Childhood very well
What sports did you play at school?	Athletics, netball and hockey

Occupation	Unemployed
What is your ideal career/ occupation?	Receptionist/ veterinarian
What are you doing to get to your desired profession in life?	Study further
Do you have a matric and university exemption?	No matric
Subjects and grades or marks at school	Afrikaans, English, Mathematics, Life Sciences, Tourism, Hospitality Studies, Computers
What is the name of any course / degree completed?	Grade 10
Planned studies	Matric
In what aspects do you have a keen interest?	Biology and Physical science
What type of books do you like to read?	fiction
Would you prefer to read the book or watch the movie?	Both

Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate	No
Preferred town to donate	Pretoria
Towns available in which to donate - travel costs will be covered	Durban

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

Donor profiles

A – NM 4904, Howick

Additional donor information