S – PN 2268, Limpopo
Generate PDFAvailability status: | Available in all regions - travel costs |
Race: | Black/ African |
Age: | 22 |
Hair colour: | Dark brown curly coarse hair |
Eye colour: | Dark brown eyes |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.65m., 80kg., pear shaped, well built, medium skin complexion. |
Face shape: | face_oval |
Other personal information: | South African nationality, Capricorn star sign, B+ blood group. Candidate is studying clinical medical practice. She is an outspoken, well spoken, inquisitive individual. She is interested in science and extreme sports. Non-smoker. Reason for donating: I am a blood donor, it is in my nature to help. I would love to give someone the gift of life, give them a chance to raise a child. Angels come in any forms and I like to think that by doing this I may be someone's angel, there is nothing more beautiful than the gift of life and I'd love to give it. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I am a Christian, I have no issues with other people's views. To each their own |
SKU: 25832
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Polokwane, Limpopo |
Nationality | South African |
Where were you born? | South Africa |
What language(s) do you speak? | English and Sepedi |
Year of birth | 1993 |
Age | 22 |
Star sign | Capricorn |
Blood group (if known) | B+ |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I am a blood donor, it is in my nature to help. I would love to give someone the gift of life, give them a chance to raise a child. Angels come in any forms and I like to think that by doing this I may be someone's angel, there is nothing more beautiful than the gift of life and I'd love to give it. |
How do you best describe yourself? | Introverted and extroverted, calm, bookworm, inquisitive, outspoken, well spoken, open minded |
Relationship status | Serious relationship |
Physical profile
Race | Black/African |
Skin complexion | Medium |
Face shape | oval |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Thin Almond |
Height in metres | 1.66m |
Weight in kilograms | 83kg. |
What is your usual or ideal weight? | 70kg. |
Build and body shape | Pear, athletic build |
Which body part is most sensitive to weight gain or loss? | Butt, thighs and tummy |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Dark brown/black |
Hair type | Curly |
Hair texture | Thick |
Description of hands and fingers | Short fingers, small hands |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Gap toothed |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Queen latifah |
Siblings physical traits - hair and eye colour, height, weight and build | Tall, skinny, brown skin |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | None |
Fertility issues | Small uterine fibroid |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy, go to the gym daily, carrying 45% muscle mass |
Smoker | never smoked |
Alcohol consumption per week. | 2 glasses of wine |
Do you wear glasses? | Since Early Adulthood |
How would you rate your sight? | Fair.. Just have issues reading small fonts |
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 | Shellfish |
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 | Yes - Mild |
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? | Toe op, tonsil removal and nose op all 3 years ago and more |
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 have a uterine fibroid. It isn't harmful |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | Health conscious, I don't consume dairy |
How often do you excercise? | Daily |
In which exercises or sports do you partake now? | Volleyball, strength training |
Have you excelled in any sports? | Yes volleyball varsity level |
What sports did you play at school? | Baskeyball |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | Doctor |
What are you doing to get to your desired profession in life? | Currently studying clinical medical practice |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | English home language 70%, Sepedi home language 69%, Mathematics 51%, Life Orientation 80%, Accounting 75% Life Sciences 79%, Physical Sciences 49% |
What is the name of any course / degree completed? | |
Planned studies | Medicine in neurology department |
In what aspects do you have a keen interest? | Science, neurology (specifically pediatric medicine) |
What type of books do you like to read? | |
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? | Helping others |
If you had unlimited resources and could save one thing on earth what would it be? | A children's orphanage |
What are your views on religion and spirituality, and practiced religion? | I am a Christian, I have no issues with other people's views. To each their own |
Childhood religion? | Catholicism |
Any specific achievements or aspects of recognition in your family | Got three trophies in high school for 3 subjects, accounting, english and life sciences |
Interests and hobbies | Extreme sports, yoga, fitness, reading and volleyball |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | I've only been to Cape Town, by train |
What are your feelings on animal welfare? | I love animals and wish we could do more. I don't think enough is being done |
Strength and weaknesses | Open minded, very curious and aware.... Weakness I'd say being an introvert |
What do others generally think of you? | Many think that I keep to myself but when they get to know me they are usually taken back by my charm and sweetness. |
Favourite flower | Lilies |
What is your favourite meal? | I love pancakes with lots of syrup and fruit |
What is your favourite movie? | I don't have a specific but I love horror |
What is your favourite book? | I've read so many but it would have to be The Lord of The Rings and To kill a mocking bird. Both beautifully written |
Who is your favourite actor? | Denzel Washington |
Who is your favourite actress? | Sandra Bullock |
What is your favourite colour? | Blue |
What is your favourite colour lipstick? | Hot pink |
What is your favourite perfume? | Nude by Rihanna |
Who is your favourite person? | My 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? | Stay in with a loved one or book |
Are you musical or played any musical instruments? | Piano |
Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
Do you prefer indoors or outdoors? | Outdoors |
Which weather do you prefer? | |
Are you more creative or analytical? |
Family information of genetic parents
Nationality for mother and father | Both South African |
Country of origin and ancestry for mother and father | Mother's ancestry from Mozambique, my father has a white grandmother |
Language spoken for mother and father | Mother and father both speak Tsonga |
Professions for mother and father | Mother - personal trainer, father - policeman and business man |
Achievements on an academic level for mother and father | Mother has an electrical engineering degree, father did not complete high school. |
Race for mother and father | Both black |
Natural hair colour for mother and father | Both black |
Eye colour for mother and father | Dark brown and black |
Height for mother and father | Mother - 1.65., father - 1.9m. |
Mother and father build | Mother - athletic build, father also athletic build |
Any specific defining traits for both parents | Father has a gap tooth |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mother - 42, father - 58 |
Health status | Both 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 | None |
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? | Paternal grandmother and maternal grandfather have diabetes |
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 | Only my mother |
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 PGM |
If deceased, state cause of death | Unknown |
Current age or age of death | 78 |
Grandfathers still alive? | Only MGF |
If deceased, state cause of death | Unknown |
Current age or age at time of death | 77 |
Grandfathers' eye colour (maternal and paternal) | Dark brown |
Grandmothers' eye colour (maternal and paternal) | Black and dark brown |
Grandfathers' hair colour (maternal and paternal) | Black |
Grandmothers' hair colour (maternal and paternal) | Black |
Health of grandmothers (maternal and paternal) | MGM - deceased, PGM - critical |
Health of grandfathers (maternal and paternal) | MGF - fair, PGF - unknown, never met him |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | PGM - mixed (white mother, black father) |
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 | None |
Egg donation stipulations
Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | No. I donate to everyone |
Preferred town to donate | |
Towns available in which to donate - travel costs will be covered |
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 |