A – PR 2630 Cape Town
Generate PDFAvailability status: | Available now in Cape Town, other regions - travel costs |
Race: | Black African |
Age: | 31 |
Hair colour: | Black hair |
Eye colour: | Dark brown |
Has children: | Yes |
Proven donor | Yes |
Post matric studies: | Yes |
Other physical information: | Around 1.5m., around 68g., brown skin complexion, size 4/ 5 shoe, 36C breast cup. |
Face shape: | Round |
Other personal information: | South African, Capricorn star sign, A+ blood group, Christian, Xhosa ancestry. Candidate is employed as a customer care advisor. She is interested in baking and aspires to travel. Non-smoker. Reason for donating: I want to share the same blessing God gave to me with another. |
Reproduction history: | Three children and proven egg donor resulting in a pregnancy. |
What are your views on religion and spirituality, and practiced religion? | I'm just a Christian. No views on any other religion. |
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SKU: 56189
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Cape Town, Western cape |
Nationality | South African |
Where were you born? | Cape Town |
What language(s) do you speak? | English, isiXhosa, Setswana and isiZulu |
Year of birth | 1992 |
Age | 31 |
Star sign | Capricorn |
Blood group (if known) | A+ |
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 share the same blessing God gave to me with another. |
How do you best describe yourself? | I'm a very loving and outspoken person, social and outgoing.. Not a morning person and I love nature. |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Brown |
Face shape | round |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Thin Almond |
Height in metres | Around 1.5m. |
Weight in kilograms | Around 70kg. |
What is your usual or ideal weight? | 60kg. |
Build and body shape | Pear shaped |
Which body part is most sensitive to weight gain or loss? | My buttocks |
Eye colour | Brown |
Natural hair colour | Black |
Hair colour as a child | Black |
Hair type | Coarse |
Hair texture | Not Selected |
Description of hands and fingers | Unknown |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Shoe size 4/ 5, cup size 36C |
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 |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | None |
Smoker | never smoked |
Alcohol consumption per week. | Not applicable |
Do you wear glasses? | Since Early Adulthood |
How would you rate your sight? | 6/10 |
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 | None |
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. | None |
Any physical handicaps or deformaties? If yes, please state. | None |
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. | None |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | Nope |
How often do you excercise? | When I Get A Chance |
In which exercises or sports do you partake now? | Netball |
Have you excelled in any sports? | Netball and athletics |
What sports did you play at school? | Netball and athletics |
Professional and academic information
Occupation | Customer care advisor |
What is your ideal career/ occupation? | Publicist |
What are you doing to get to your desired profession in life? | Working n saving |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Life Orientation, Life Sciences, English - always 60% above. |
What is the name of any course / degree completed? | |
Planned studies | Public relations. |
In what aspects do you have a keen interest? | Travelling and motivational speaking. |
What type of books do you like to read? | |
Would you prefer to read the book or watch the movie? | Both |
Do you know if your IQ was ever tested and the score please? | Never tested. |
Behavioural traits
What is most important in life to you? | My children |
If you had unlimited resources and could save one thing on earth what would it be? | Food |
What are your views on religion and spirituality, and practiced religion? | I'm just a Christian. No views on any other religion. |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | Mother is an astounding writer.. Received several awards. |
Interests and hobbies | Cooking and baking. I want to travel. |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | None |
What are your feelings on animal welfare? | I just love them, never owned one, but I feel they should be treasured. |
Strength and weaknesses | Listening and patient. Trust too easily. |
What do others generally think of you? | I am friendly and loud and I talk alot. |
Favourite flower | Roses |
What is your favourite meal? | Pasta |
What is your favourite movie? | Me before you |
What is your favourite book? | Silence |
Who is your favourite actor? | Eddie Murphy |
Who is your favourite actress? | Queen. Latifah |
What is your favourite colour? | Pink |
What is your favourite colour lipstick? | Red |
What is your favourite perfume? | Love her madly |
Who is your favourite person? | My late grandfather |
Are you more introverted or extroverted? | Extroverted |
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? | Guitar |
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? | |
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 | Both South Africa |
Language spoken for mother and father | Both IsiXhosa |
Professions for mother and father | Mom - artist, dad - unknown |
Achievements on an academic level for mother and father | Mom - HR degree, dad unknown |
Race for mother and father | Both black |
Natural hair colour for mother and father | Both black |
Eye colour for mother and father | Both black |
Height for mother and father | Mother 6.3. Dad unknown |
Mother and father build | Unknown |
Any specific defining traits for both parents | Unknown |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 51, dad - unknown |
Health status | Both excellent |
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? | None |
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? | None |
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 | Nope |
Any physical deformaties or handicaps? If yes, please state | Nope |
History of asthma | No to Both |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | None |
Any other comments regaring any health aspects in your family | None |
Alcoholism / substance abuse | Only my father |
Grandmothers still alive? | Yes to Both |
If deceased, state cause of death | Not applicable |
Current age or age of death | MGM - 77, PGM - unknown |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | MGM - lung failure, PGM - unknown |
Current age or age at time of death | MGM - 82, PGM - unknown |
Grandfathers' eye colour (maternal and paternal) | MGM - dark brown, PGM - unknown |
Grandmothers' eye colour (maternal and paternal) | MGM - black, PGM - unknown |
Grandfathers' hair colour (maternal and paternal) | |
Grandmothers' hair colour (maternal and paternal) | MGM - black, PGM - unknown |
Health of grandmothers (maternal and paternal) | MGM - dementia, PGM - unknown |
Health of grandfathers (maternal and paternal) | Both deceased |
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 | MGM - dementia |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | MGM - dementia, no other concerns |
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 | Cape Town |
Towns available in which to donate - travel costs will be covered | Cape Town |
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 |