S – OK 6061, Pietermaritzburg
Generate PDF| Availability status: | Available now in Durban and Umhlanga |
| Race: | Black/African |
| Age: | 19 |
| Hair colour: | Black |
| Eye colour: | Black |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | No |
| Other physical information: | 1.62m. 59kg |
| Face shape: | Round |
| Other personal information: | South African nationality Candidate aspires to work in IT. She enjoys coding and problem solving. Non-smoker. Reason for donating and message to recipient: I'm so grateful to be this part of your journey, may this gift give you joy and help make your dream parenthood come true. |
| Reproduction history: | No children and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | I beleve in practiced religion |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Pietermaritzburg |
| In which province do you live? | KwaZulu-Natal |
| Nationality | South Africa |
| Where were you born? | Edendale Hospital |
| What language(s) do you speak? | Isizulu English |
| Year of birth | 2006 |
| Age | 19 |
| Star sign | Virgo |
| 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'm so grateful to be this part of your journey, may this gift give you joy and help make your dream parenthood come true. |
| How do you best describe yourself? | I'm a very optimistic, caring person who enjoys spending quality time with family and learning new skills. I enjoy my own company as much as working on my career and with people evolving around me. |
| Relationship status | Single |
| Have you donated eggs before? | No |
Physical profile
| Race | Black/African |
| Skin complexion | Medium |
| Face shape | Round |
| Nose shape defined by Wikipedia | African - wide nostrilled nose |
| Eye shape | Round Almond |
| Height in metres | 1.62 |
| Weight in kilograms | 59 |
| What is your usual or ideal weight? | 59 |
| Build and body shape | Portable slender |
| Which body part is most sensitive to weight gain or loss? | My waist and hips |
| Eye colour | Black |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Afro |
| Hair texture | Thick |
| Description of hands and fingers | Medium length fingers, smooth skin,no marks or scars |
| Cup size | 34B |
| Shoe size | 5 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Not indicated |
| How many siblings do you have? | 0 |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 0 |
| Fertility issues | None of which I am aware. |
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 | Healthy |
| Smoker | never smoked |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Never |
| How would you rate your sight? | 9 |
| 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? | 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. | No |
| How often do you excercise? | When I Get A Chance |
| In which exercises or sports do you partake now? | Netball, running |
| Have you excelled in any sports? | yes |
| What sports did you play at school? | Netball |
Professional and academic information
| Occupation | Student (On a gap year) |
| What is your ideal career/ occupation? | My ideal career is in information technology, where i can use my problem solving skills as well as creativity |
| What are you doing to get to your desired profession in life? | I'd be doing my IT which improves my skills through practice and courses, preparing for a career in technology |
| Do you have a matric and university exemption? | No matric |
| Subjects and grades or marks at school | English 65% Mathematics 43% Isizulu 45% Geography 42% Life Sciences 43% Physical Science 28% Life Orientation 66% |
| What is the name of any course / degree completed? | I have completed grade 10 and took a gap year in mid-grade11 before finishing grade 11 |
| Planned studies | Studying further to TVEt college for ncv for IT course |
| In what aspects do you have a keen interest? | I have a keen interest in Information technology systems, computer, programming and learning new software skills. |
| What type of books do you like to read? | non-fiction |
| Would you prefer to read the book or watch the movie? | Both |
| Do you know if your IQ was ever tested and the score please? | No |
Behavioural traits
| What is most important in life to you? | Achieving my goals and makes my self happy |
| If you had unlimited resources and could save one thing on earth what would it be? | Myself or try to save the earth |
| What are your views on religion and spirituality, and practiced religion? | I beleve in practiced religion |
| Childhood religion? | Christianity religion |
| Any specific achievements or aspects of recognition in your family | I am being recognized for my dedication to my studies and working hard on achieving my goals |
| Interests and hobbies | Learning about new technology, coding, solving problems I like reading novels and listening to music |
| What is your preferred holiday? | Stay at home |
| If you were offered an all-inclusive holiday, what would it be? | All by myself in room reading novels and doing more research on new technology |
| Which interesting places have you visited? | Botanical garden, KZN musuem |
| What are your feelings on animal welfare? | I'm not a fan |
| Strength and weaknesses | Strengths - responsible, hard-working and adaptable Weakness - shy in large groups but I'm actively working on confidence |
| What do others generally think of you? | Most lonely but energetic person, some say I'm unpredictable cause they cant accept or wont align with my hobbies |
| Favourite flower | none, I'm not a fan of flowers or nature |
| What is your favourite meal? | its pizza and pasta |
| What is your favourite movie? | Mission impossible |
| What is your favourite book? | My Breaking point |
| Who is your favourite actor? | Tom Cruise |
| Who is your favourite actress? | Teyana Taylor |
| What is your favourite colour? | White |
| What is your favourite colour lipstick? | Pink |
| What is your favourite perfume? | Long lasting smell on clothes not to overrated |
| Who is your favourite person? | My grandmother |
| 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 more cultural or more adventurous? | Bit of Both - depending on Situation |
| Do you prefer indoors or outdoors? | Indoors |
| Which weather do you prefer? | rain |
| Are you more creative or analytical? | 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 | Both isizulu |
| Professions for mother and father | Mom - homemaker Dad - passed away |
| Achievements on an academic level for mother and father | Mom - matric certificate Dad - none |
| Race for mother and father | Both black |
| Natural hair colour for mother and father | Both black |
| Eye colour for mother and father | Both black |
| Height for mother and father | Both unknown |
| Mother and father build | Both unknown |
| Are your parents still alive? | Only my mother |
| If deceased, cause of death | Dad - organ damage |
| Age (if living, or age deceased) | Mom - 34 |
| Health status | None worth commenting |
| Please indicate if any twins in your family | Yes |
| Details of twins | Both mom and dad are twins |
| 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 | None |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | Yes to Both |
| Current age or age of death | Unknown |
| Grandfathers still alive? | Yes to Both |
| Current age or age at time of death | Unknown |
| Grandfathers' eye colour (maternal and paternal) | Brown |
| Grandmothers' eye colour (maternal and paternal) | Black |
| Grandfathers' hair colour (maternal and paternal) | Black |
| Grandmothers' hair colour (maternal and paternal) | Black |
| Health of grandmothers (maternal and paternal) | Healthy |
| Health of grandfathers (maternal and paternal) | Unknown |
| 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 | None |
| 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 | Durban |
| Towns available in which to donate - travel costs will be covered | Durban |
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 |
