A – PN 4224, Kimberley
Generate PDFAvailability status: | Available now in Bloemfontein |
Race: | Black |
Age: | 20 |
Hair colour: | Brown |
Eye colour: | Dark brown |
Has children: | No |
Proven donor | Yes |
Post matric studies: | No |
Other physical information: | 1.7m., 63kg., freckles |
Face shape: | Oval |
Other personal information: | South African nationality. Candidate is looking for employment. She is a healthy person. Non-smoker. Reason for donating: I would like to give a woman a chance to be a mother. |
Reproduction history: | No children and proven donor. |
What are your views on religion and spirituality, and practiced religion? | I believe in all of them. I believe that people have all of them. I believe in God and both ancestors. I’m a neutral person. |
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Category: Active Donor
Additional donor information
Initial information
In which town do you live? | Kimberley, Northern Cape |
Nationality | South African |
Where were you born? | Brits |
What language(s) do you speak? | Setswana, Afrikaans and English |
Year of birth | 2004 |
Age | 20 |
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 would like to give another women a chance to be parents and have their own children. |
How do you best describe yourself? | Introverted and a go-getter |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Medium |
Nose shape defined by Wikipedia | Snub |
Eye shape | Round Almond |
Height in metres | 1.7 |
Weight in kilograms | 64 |
Build and body shape | Hourglass |
Which body part is most sensitive to weight gain or loss? | Tummy |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Curly |
Hair texture | Fine |
Description of hands and fingers | I have 10 long, defined fingers. I’m right handed |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Freckles |
Cup size | Ella Mai |
Are you left handed or right handed? | Right handed |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
Fertility issues | No |
Health of egg donor
Are you a twin? | No |
Smoker | never smoked |
Do you wear glasses? | Never |
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 |
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 indicated |
Have you ever been addicted to any substances? | No |
Details of any operations? | None |
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? | currently exercising to stay in shape |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Hockey |
Professional and academic information
Occupation | None as yet |
What are you doing to get to your desired profession in life? | I’m currently at home trying to find a job so I can save up for school next year |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Accounting, business and economics |
Planned studies | Law |
In what aspects do you have a keen interest? | School, all my interest is in school. If I had the money I would go |
Would you prefer to read the book or watch the movie? | Read the Book |
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 parents |
What are your views on religion and spirituality, and practiced religion? | I believe in all of them. I believe that people have all of them. I believe in God and both ancestors. I’m a neutral person. |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | Cooking |
If you were offered an all-inclusive holiday, what would it be? | Camping in the woods |
Which interesting places have you visited? | None |
What are your feelings on animal welfare? | Animals should be well taken care of. They should be treated with care |
Strength and weaknesses | Strength - communication, weakness - decision-making |
What do others generally think of you? | They think that I’m an introvert |
Favourite flower | Daisy |
What is your favourite meal? | Pizza |
What is your favourite movie? | Shaft |
What is your favourite book? | Pride and Prejudice |
Who is your favourite actor? | Samuel L. Jackson |
Who is your favourite actress? | Angelina Jolie |
What is your favourite colour? | pink |
What is your favourite colour lipstick? | Red |
What is your favourite perfume? | Lady Gold |
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? | Outdoors |
Which weather do you prefer? |
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 | Sotho and Tswana |
Professions for mother and father | They are deceased |
Race for mother and father | Black |
Natural hair colour for mother and father | Black |
Eye colour for mother and father | Dark brown |
Height for mother and father | Not indicated |
Mother and father build | Not indicated |
Any specific defining traits for both parents | Not indicated |
Are your parents still alive? | No To Both |
If deceased, cause of death | Car accident |
Age (if living, or age deceased) | 44 |
Health status | Deceased |
Please indicate if any twins in your family | No |
Any family members who have had cancer including aunts or uncles? | No |
Any fertility problems in your family | No |
Any other comments regaring any health aspects in your family | None |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Natural death |
Current age or age of death | 68 |
Grandfathers still alive? | Only PGF |
If deceased, state cause of death | |
Current age or age at time of death | 79 |
Grandfathers' eye colour (maternal and paternal) | Dark brown |
Grandmothers' eye colour (maternal and paternal) | Dark brown |
Grandfathers' hair colour (maternal and paternal) | Black |
Grandmothers' hair colour (maternal and paternal) | Black |
Health of grandmothers (maternal and paternal) | Good |
Health of grandfathers (maternal and paternal) | Good |
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 | None |
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 | bloemfontein |
Towns available in which to donate - travel costs will be covered | Bloemfontein |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
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 |