S – PM 5100, Mafikeng
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria (travel costs) |
Race: | Black/African |
Age: | 20 |
Hair colour: | Black |
Eye colour: | Brown |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.63m.., 55kg. |
Face shape: | Round |
Other personal information: | South African nationality, Sepedi and Zulu ancestry. Candidate has studied tourism. Non-smoker. Reason for donating: I want to help couples/individuals who are struggling with infertility to have an opportunity to become parents and also this is for personal growth. Message to recipient: I would love to thank you for allowing me to be part of your life and I hope everything goes well. from the bottom of my heart, I with you and your family nothing but the best and I will always be willing to donate in the future. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Spirituality is more personal and a connection to something greater. Religion is more of what an individual beliefs. |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Mafikeng |
Nationality | South African |
Where were you born? | Midrand, Gauteng, Midrand |
What language(s) do you speak? | English, Sepedi and Zulu |
Year of birth | 2005 |
Age | 20 |
Star sign | Capricorn |
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 couples/individuals who are struggling with infertility to have an opportunity to become parents and also this is for personal growth. Message to recipient: I would love to thank you for allowing me to be part of your life and I hope everything goes well. from the bottom of my heart, I with you and your family nothing but the best and I will always be willing to donate in the future. |
How do you best describe yourself? | I am a hard working individual, strong, open, creative, passionate about nail art and sewing clothing as well as a good communicator and team player. |
Relationship status | New relationship |
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 | 1.63 |
Weight in kilograms | 55 |
What is your usual or ideal weight? | 50 |
Build and body shape | lithe/wiry |
Which body part is most sensitive to weight gain or loss? | stomach and lower body |
Eye colour | Brown |
Natural hair colour | Black |
Hair colour as a child | Black |
Hair type | Afro |
Hair texture | medium |
Description of hands and fingers | Plump and small. |
Cup size | 32A |
Shoe size | 4 |
Are you left handed or right handed? | Left handed |
With celebrity do you most resemble - physically? | Unknown |
How many siblings do you have? | 2 |
Sibling 1 Hair Colour | Black |
Sibling 1 Eye Colour | Black |
Sibling 1 Build | Tall <br /> slim |
Sibling 2 Hair Colour | Brown |
Sibling 2 Eye Colour | Brown |
Sibling 2 Build | chubby |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | 0 |
Fertility issues | None |
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 | Ex-smoker |
Alcohol consumption per week. | 0_drinks |
Do you wear glasses? | Never |
How would you rate your sight? | 10 |
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? | A few times a week |
In which exercises or sports do you partake now? | gymnastic |
Have you excelled in any sports? | Soccer |
What sports did you play at school? | Soccer |
Professional and academic information
Occupation | Nail tech |
What is your ideal career/ occupation? | Estate agent travel agent foreign english teacher |
What are you doing to get to your desired profession in life? | Studying |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Sepedi 56%, English 70%, Mathematics 57%, Life orientation 64%, Agricultural Science 60%, Geography 50%, Life Sciences 47% |
What is the name of any course / degree completed? | Tourism management |
Planned studies | Logistics and transport |
In what aspects do you have a keen interest? | Becoming a foreign English teacher. Hopefully, that would provide me with the ability to travel the world, connect with different people and learn other cultures. |
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? | No |
Behavioural traits
What is most important in life to you? | My family and myself. |
If you had unlimited resources and could save one thing on earth what would it be? | Humanity |
What are your views on religion and spirituality, and practiced religion? | Spirituality is more personal and a connection to something greater. Religion is more of what an individual beliefs. |
Childhood religion? | Prayer |
Any specific achievements or aspects of recognition in your family | No |
Interests and hobbies | Hobbies - reading, creative pursuits; interests - learning a new language, baking. |
What is your preferred holiday? | City |
If you were offered an all-inclusive holiday, what would it be? | Zanzibar |
Which interesting places have you visited? | Lesotho |
What are your feelings on animal welfare? | Animal welfare is important |
Strength and weaknesses | Strengths - cooking, creative, ability to work under pressure, organization; weaknesses - impatience, public speaking, procrastination, shy. |
What do others generally think of you? | I am smart people think i am sweet people think i am talkative people think i am a Daddy's girl. |
Favourite flower | Tulips |
What is your favourite meal? | Wraps and wings |
What is your favourite movie? | John wick |
What is your favourite book? | Ifell in love with a blind man |
Who is your favourite actor? | Zac |
Who is your favourite actress? | Fatima |
What is your favourite colour? | Cream white |
What is your favourite colour lipstick? | Red |
What is your favourite perfume? | Vanilla royal |
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 musical or played any musical instruments? | No |
Are you more cultural or more adventurous? | More Adventurous |
Do you prefer indoors or outdoors? | Indoors |
Which weather do you prefer? | rain |
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 | Mom - South Africa, Dad - Lesotho |
Language spoken for mother and father | Mom - Xhosa, Dad - Sepedi |
Professions for mother and father | Dad - truck driver |
Achievements on an academic level for mother and father | Unknown |
Race for mother and father | Both black |
Natural hair colour for mother and father | Mom - brown, Dad - black |
Eye colour for mother and father | Mom - brown, Dad - black |
Height for mother and father | Not indicated |
Mother and father build | Mom - hourglass, Dad - slim |
Any specific defining traits for both parents | None |
Are your parents still alive? | Only my father |
If deceased, cause of death | Mom - natural causes |
Age (if living, or age deceased) | Mom -deceased at 37; Dad - 57 |
Health status | Dad - healthy |
Please indicate if any twins in your family | Yes |
Details of twins | Boy and girl 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 | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Yes to Both |
Current age or age of death | MGM - 80, PGM - 73 |
Grandfathers still alive? | Only PGF |
If deceased, state cause of death | MGF - natural cause |
Current age or age at time of death | PGF - 91 |
Grandfathers' eye colour (maternal and paternal) | PGF - brown |
Grandmothers' eye colour (maternal and paternal) | MGM - black, PGM - hazel |
Grandfathers' hair colour (maternal and paternal) | PGF - black |
Grandmothers' hair colour (maternal and paternal) | Both black |
Health of grandmothers (maternal and paternal) | Both good |
Health of grandfathers (maternal and paternal) | PGF - high blood pressure |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All 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 | Pretoria |
Towns available in which to donate - travel costs will be covered | Johannesburg, 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 | 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 |