S – PT 3115, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | Black |
Age: | 24 |
Hair colour: | Black |
Eye colour: | Brown |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.64m., 74kg., pear shaped |
Face shape: | Oval |
Other personal information: | Zimbabwean nationality, Christian. Candidate is a law student. She was head girl at high school and primary school. Non-smoker. Reason for donating: I am empathetic to woman who cannot conceive. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Christian - I believe Jesus died for my sins. |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Johannesburg, Gauteng |
Nationality | Zimbabwean |
Where were you born? | Zimbabwe |
What language(s) do you speak? | English and Shona |
Year of birth | 1995 |
Age | 24 |
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? | Apart from needing the funds for my studies, I am empathetic to the women who not only deserve to be mothers but do so willingly. |
How do you best describe yourself? | Christian, academic, confident, stubborn, loyal and family oriented. |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Brown |
Face shape | oval |
Nose shape defined by Wikipedia | Jewish/ Hawk - Thin and sharp |
Eye shape | Round Almond |
Height in metres | 1.64m. |
Weight in kilograms | 74kg. |
What is your usual or ideal weight? | 68kg. |
Build and body shape | Curvy |
Which body part is most sensitive to weight gain or loss? | Buttocks |
Eye colour | Brown |
Natural hair colour | Black |
Hair colour as a child | Black |
Hair type | Afro |
Hair texture | Thick |
Description of hands and fingers | Long and slim |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | 38 C cup size 6 shoe size |
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? | Yes |
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 | Health |
Smoker | never smoked |
Alcohol consumption per week. | Once |
Do you wear glasses? | Since a teen |
How would you rate your sight? | Good |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | None |
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 | Yes |
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. | Solphyllin occasionally if I catch a cold for asthma |
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? | Behind my ears, I had a growth due to piercings |
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 of which I am aware. |
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? | Swimming |
Have you excelled in any sports? | Volleyball |
What sports did you play at school? | Volleyball and swimming |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | Lawyer |
What are you doing to get to your desired profession in life? | Bachelor's degree in law |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Ordinary, Advanced level and higher certificate |
What is the name of any course / degree completed? | Higher certificate in Law |
Planned studies | Llb degree |
In what aspects do you have a keen interest? | Corporate law |
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? | No |
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? | Water |
What are your views on religion and spirituality, and practiced religion? | Christian - I believe Jesus died for my sins. |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | My father is a colonel in the army, my sister was a senior prefect in high school and I was a head girl as well in high school |
Interests and hobbies | Dancing, novels and art |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Matopo hills |
What are your feelings on animal welfare? | If you get a pet, treat it like human. |
Strength and weaknesses | Strengths - loyalty, weakness - stubborn |
What do others generally think of you? | That they can count on me |
Favourite flower | Primrose |
What is your favourite meal? | Pasta and chicken |
What is your favourite movie? | The producers |
What is your favourite book? | The importance of being earnest Oscar wilde |
Who is your favourite actor? | Will Smith |
Who is your favourite actress? | Charlie Theron |
What is your favourite colour? | Pink |
What is your favourite colour lipstick? | Red |
What is your favourite perfume? | Black opium |
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? | Go out with friends |
Are you musical or played any musical instruments? | Piano briefly |
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 Zimbabwean |
Country of origin and ancestry for mother and father | Both Zimbabwe |
Language spoken for mother and father | Shona and English |
Professions for mother and father | Mom - housewife, dad - Lt Colonel in the army |
Achievements on an academic level for mother and father | Ordinary level |
Race for mother and father | Both black |
Natural hair colour for mother and father | Both black |
Eye colour for mother and father | Both brown |
Height for mother and father | Mom - 1.62m., dad - 1.9m. |
Mother and father build | Mom - hour glass shaped, dad - buff |
Any specific defining traits for both parents | Dad - almond eyes and the brown skin is courtesy of my mom. |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | 56 and 58 |
Health status | Mom is diabetic |
Please indicate if any twins in your family and the relationship to you | Cousins on my mom’s side |
Please list any family members who have had cancer including aunts or uncles and on which family side | My paternal aunt |
Any fertility problems in your family | None of which I am aware |
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? | Yes, mom is a diabetic. |
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 | None |
Any physical deformaties or handicaps? If yes, please state | None |
History of asthma | Only my mother |
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 | No To Both |
Grandmothers still alive? | Yes to Both |
If deceased, state cause of death | Not applicable |
Current age or age of death | In 80’s |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Illness |
Current age or age at time of death | 101 and 96 |
Grandfathers' eye colour (maternal and paternal) | Both brown |
Grandmothers' eye colour (maternal and paternal) | Both brown |
Grandfathers' hair colour (maternal and paternal) | Both black |
Grandmothers' hair colour (maternal and paternal) | Both black |
Health of grandmothers (maternal and paternal) | Both good |
Health of grandfathers (maternal and paternal) | Deceased |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Same race |
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 | I do not want to donate to homosexual couples or to individuals. |
Preferred town to donate | Johannesburg |
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 | 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 |