S – ON 4770, North West
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria, travel costs |
Race: | Black |
Age: | 18 |
Hair colour: | Brown |
Eye colour: | White |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.71m., 58kg. |
Face shape: | Oval |
Other personal information: | South African nationality. Candidate aspires to travel the world. Non-smoker.Reason for donating: I want to help women who can't have children of their own but want to be mothers |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? |
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Category: Active Donor
Additional donor information
Initial information
In which town do you live? | Koster, North West |
Nationality | South African |
Where were you born? | Koster hospital |
What language(s) do you speak? | Setswana |
Year of birth | 2005 |
Age | 18 |
Star sign | Taurus |
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 want to help women who can't have children of their own but want to be mothers. |
How do you best describe yourself? | A kind loving and short tempered person |
Relationship status | Serious relationship |
Physical profile
Race | Black/African |
Skin complexion | Fair |
Face shape | oval |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Round Almond |
Height in metres | 1.71 |
Weight in kilograms | 58 |
Which body part is most sensitive to weight gain or loss? | Stomach |
Eye colour | Black |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Straight |
Hair texture | Fine |
Description of hands and fingers | Light skinned and skinny I can say |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Size 4 shoe, one dimple on my left chick |
Are you left handed or right handed? | Right handed |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
Fertility issues | None of which I am aware. |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Any current diseases? | Healthy |
Smoker | never smoked |
Alcohol consumption per week. | None |
Do you wear glasses? | Never |
How would you rate your sight? | Very sharp |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | 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 | Allergic to fish |
History of asthma | No |
Indicate any medication you are taking and reason for it. | I'm not currently taking any medication |
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 |
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. | I don't have any |
How often do you excercise? | When I Get A Chance |
In which exercises or sports do you partake now? | Squats and lunges |
What sports did you play at school? | I did not like sport |
Professional and academic information
What are you doing to get to your desired profession in life? | Studying |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Maths and physics |
What is the name of any course / degree completed? | None |
Planned studies | Military |
What type of books do you like to read? | Fiction |
Would you prefer to read the book or watch the movie? | Both |
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? | My mom |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | None |
What is your preferred holiday? | International |
If you were offered an all-inclusive holiday, what would it be? | Trip to durban |
Which interesting places have you visited? | Gold reef city |
What do others generally think of you? | I think high of myself |
Favourite flower | Rose |
What is your favourite meal? | Pap and milk |
What is your favourite movie? | The transporter |
Who is your favourite actor? | Jason statham |
Who is your favourite actress? | Angelina jolie |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | Red to maroon |
What is your favourite perfume? | Villa |
Who is your favourite person? | Little sister |
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? | Both |
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 Africa |
Language spoken for mother and father | Setswana |
Professions for mother and father | Father police officer Mother deceased |
Race for mother and father | African |
Eye colour for mother and father | Black |
Any specific defining traits for both parents | Skin colour and face recognition |
Are your parents still alive? | Only my father |
If deceased, cause of death | |
Age (if living, or age deceased) | Early forties |
Health status | Non applicable |
Any fertility problems in your family | 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 | Non applicable |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | |
Grandfathers still alive? | Only MGF |
If deceased, state cause of death | |
Grandfathers' eye colour (maternal and paternal) | Brown |
Grandmothers' eye colour (maternal and paternal) | Black |
Grandmothers' hair colour (maternal and paternal) | Grey |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Same race |
Egg donation stipulations
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 | We should always help those in need |
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 |