S – PN 4745, Kzn
Generate PDFAvailability status: | Available now in Durban and Umhlanga |
Race: | Black |
Age: | 30 |
Hair colour: | Black |
Eye colour: | Brown |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.73m., 78kg |
Face shape: | Round |
Other personal information: | South African nationality. Candidate is an electrical engineer student. Non-smoker. Reason for donating: Many people struggle to conceive and I would love to help a lady be called Mommy. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Well it differs with everyone but I am a Christian and believe in prayer and God |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | KwaZulu Natal |
Nationality | South Aftican |
Where were you born? | South Africa |
What language(s) do you speak? | English, Zulu and Sotho |
Year of birth | 1993 |
Age | 30 |
Star sign | Cancer |
Blood group (if known) | O+ |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | Some women struggle so much with conceiving, could be from various sicknesses or miscarriages, the gift of having your own baby would be pure bliss and have someone to call you mommy. |
How do you best describe yourself? | Very reserved, introvert, intelligent, a person who carries a warm aura with her wherever she goes, selfless, always going out of her way to make the next person feel better about themselves, strong advocate when it comes to self love and respect |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Medium |
Face shape | round |
Nose shape defined by Wikipedia | Snub |
Eye shape | Round |
Height in metres | 1.73 |
Weight in kilograms | 78 |
What is your usual or ideal weight? | 75 |
Build and body shape | Medium |
Which body part is most sensitive to weight gain or loss? | Stomach |
Eye colour | Black |
Natural hair colour | Black |
Hair colour as a child | Nlack |
Hair type | Afro |
Hair texture | medium |
Description of hands and fingers | Beautiful small hands |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | 34DD breast cup size, size 5/6 shoe, dimples |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | |
How many siblings do you have? |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | |
Fertility issues | None of which I am aware. |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Sinuses |
Smoker | never smoked |
Alcohol consumption per week. | Once or twice monthly |
Do you wear glasses? | Never |
How would you rate your sight? | 100% |
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 | Sawdust and wood dust |
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. | Budaflam pump |
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. | Light meal diet and a lot of fruits |
How often do you excercise? | When I Get A Chance |
In which exercises or sports do you partake now? | Running |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Rugby and soccer |
Professional and academic information
Occupation | Electrician |
What is your ideal career/ occupation? | Electrical Engineer/ forensic pathologist |
What are you doing to get to your desired profession in life? | Still studying only have 6 modules to complete to becoming Registered Engineer |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | |
What is the name of any course / degree completed? | Electrical Engineering |
Planned studies | Installation Rules |
In what aspects do you have a keen interest? | Anything in bettering myself and those next to me |
What type of books do you like to read? | Non-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? | Family, wellbeing and financial freedom |
If you had unlimited resources and could save one thing on earth what would it be? | Nature |
What are your views on religion and spirituality, and practiced religion? | Well it differs with everyone but I am a Christian and believe in prayer and God |
Childhood religion? | Catholic(Christian) |
Any specific achievements or aspects of recognition in your family | Became fitst graduate in the family |
Interests and hobbies | Sports,gym and hiking |
What is your preferred holiday? | Mountains |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Drakensberg has to top every place i’ve been to |
What are your feelings on animal welfare? | I do not like animal cruelty |
Strength and weaknesses | I’m a very determined being but I cry too much when i’m unable to fulfil something, I get so very disappointed. and discouraged at times |
What do others generally think of you? | I have a beautiful heart |
Favourite flower | Roses |
What is your favourite meal? | Has to be Sushi or prawns with coconut rice |
What is your favourite movie? | Madagascar |
What is your favourite book? | How to hug a pocupine |
Who is your favourite actor? | Thabang Molaba |
Who is your favourite actress? | Linda Mtoba |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | I dont wear lipsticks |
What is your favourite perfume? | Dolce and Gabanna Blue |
Who is your favourite person? | My mother |
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? | Depending on the Situation |
Which weather do you prefer? | Rain |
Are you more creative or analytical? | 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 | Zulu and English |
Professions for mother and father | Mom - nurse, dad - passed away |
Achievements on an academic level for mother and father | Unsure |
Race for mother and father | Black |
Natural hair colour for mother and father | Black |
Eye colour for mother and father | Black and brown |
Height for mother and father | 1.75m. and 1.8m |
Mother and father build | Medium and small |
Any specific defining traits for both parents | Unsure |
Are your parents still alive? | Only my mother |
If deceased, cause of death | Dad - natural causes |
Age (if living, or age deceased) | 65 |
Health status | Fair |
Please indicate if any twins in your family and the relationship to you | Yes cousins |
Please list any family members who have had cancer including aunts or uncles and on which family side | MGM |
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? | Nephew is anaemic |
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? | No to Both |
If deceased, state cause of death | MGM - cancer |
Current age or age of death | Not sure |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Not sure |
Current age or age at time of death | Not sure |
Grandfathers' eye colour (maternal and paternal) | Not sure |
Grandmothers' eye colour (maternal and paternal) | Not sure |
Grandfathers' hair colour (maternal and paternal) | Not sure |
Grandmothers' hair colour (maternal and paternal) | Not sure |
Health of grandmothers (maternal and paternal) | Not sure |
Health of grandfathers (maternal and paternal) | Not sure |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Black |
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 | 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 | Johannesburg |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
Please advise any specific donation criteria other than those mentioned | None |
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 |