S – RA 3298, Uitenhage
Generate PDFAvailability status: | Available now in Port Elizabeth |
Race: | Coloured |
Age: | 21 |
Hair colour: | Black |
Eye colour: | Brown |
Has children: | No |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.65m., 55kg |
Face shape: | Square |
Other personal information: | South African nationality. Candidate is a student. Non-smoker. Reason for donating: I want to be an egg donor so that couples who fail to build a family can build one, and not go through depressing phases as to why they cannot conceive a child. I would love to bless one family. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I believe in God but I don't believe what I was taught in church |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Uitenhage, Eastern Cape |
Nationality | South African |
Where were you born? | South Africa |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 22 April 2002 |
Age | 21 |
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 want to be an egg donor so that couples who fail to build a family can build one, and not go through depressing phases as to why they cannot conceive a child. I would love to bless one family. |
How do you best describe yourself? | I'm energetic, smart, kind and always wants the best for others and myself. Im a go getter. I love reading. I'm mostly introverted, but when I to step outside of the house, Im extroverted. I love sports such as football, rugby, swimming and surfing. |
Relationship status | Single |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Brown |
Face shape | square |
Nose shape defined by Wikipedia | Roman - Convex undulating nose |
Eye shape | Almond |
Height in metres | 1.65m. |
Weight in kilograms | 55kg |
What is your usual or ideal weight? | 55kg. |
Build and body shape | Skinny |
Which body part is most sensitive to weight gain or loss? | Stomach |
Eye colour | Brown |
Natural hair colour | Black |
Hair colour as a child | Black |
Hair type | Curly |
Hair texture | Fine |
Description of hands and fingers | |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup - medium, size 4/5 shoe, dimples on both my cheeks and two on my back, no freckles |
Are you left handed or right handed? | Left handed |
With celebrity do you most resemble - physically? | I don't know. Alica Keys, Swae Lee, Chris Brown |
Siblings physical traits - hair and eye colour, height, weight and build | Eldest brother - very tall, slim, brown/ blonde hair, brown eyes; middle brother - tall, medium build, slim, black hair, brown eyes; youngest sister (still a child) - brown/ blonde hair, green eyes, slim |
Reproductive information
Are you a virgin? | Yes |
Ever miscarried? | No |
No. and ages of children (if applicable) | None |
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 | None |
Smoker | never smoked |
Alcohol consumption per week. | None |
Do you wear glasses? | Never |
How would you rate your sight? | Perfect (10/10) |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Eczema |
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. | 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. | Not applicable |
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? | Not applicable |
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. | No |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Football |
Have you excelled in any sports? | No |
What sports did you play at school? | Rugby, athletics and swimming |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | Being a footballer or accountant |
What are you doing to get to your desired profession in life? | I'm currently studying towards an Accounting certificate at the University of South Africa. I'm also preparing myself to take part in freestyle football competition |
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? | Higher Certificate in Accounting Science |
Planned studies | |
In what aspects do you have a keen interest? | Playing football and anything that involves investments, but mostly football |
What type of books do you like to read? | Non-fiction |
Would you prefer to read the book or watch the movie? | Watch the Movie |
Do you know if your IQ was ever tested and the score please? | No |
Behavioural traits
What is most important in life to you? | To be happy, kind, helpful and peaceful in situations that challenges me to be the worst version of myself. |
If you had unlimited resources and could save one thing on earth what would it be? | Kindness |
What are your views on religion and spirituality, and practiced religion? | I believe in God but I don't believe what I was taught in church |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | No |
Interests and hobbies | Swimming, football, rugby, surfing, sky-diving, traveling, exploring, reading, drawing, learning |
What is your preferred holiday? | Beach |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | None so far |
What are your feelings on animal welfare? | I believe animals should be treated with love |
Strength and weaknesses | Strengths - go getter, confident, energetic, empathic; weaknesses - I don't think I have any because if I notice I have a weakness then I start working on it |
What do others generally think of you? | Im understanding and always trying to help |
Favourite flower | Any purple flower |
What is your favourite meal? | Pasta |
What is your favourite movie? | Fifthy Shades of Grey |
What is your favourite book? | Rich Dad, Poor Dad |
Who is your favourite actor? | Rowan Sebastian Atkinson |
Who is your favourite actress? | Taraji P. Henson |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | None. I don't wear lipstick |
What is your favourite perfume? | Bleu De Channel |
Who is your favourite person? | My childhood best friend |
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? | Indoors |
Which weather do you prefer? | Rain |
Are you more creative or analytical? | Analytical, Creative |
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 | Afrikaans and English |
Professions for mother and father | Dad - sales person |
Achievements on an academic level for mother and father | None |
Race for mother and father | Both coloured |
Natural hair colour for mother and father | Black |
Eye colour for mother and father | Brown |
Height for mother and father | Mom - 1.70m., dad -1.76m. |
Mother and father build | Skinny |
Any specific defining traits for both parents | No |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 46, dad - 64 |
Health status | Excellent but my dad has diabetes (not severe) |
Please indicate if any twins in your family and the relationship to you | |
Please list any family members who have had cancer including aunts or uncles and on which family side | My PGM had breast cancer and diabetes |
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? | Yes |
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 | |
History of asthma | Only my mother |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | Dad - eczema |
Any other comments regaring any health aspects in your family | My parents and siblings are all healthy, it's just my PGM and eldest sister that had suffered from diseases |
Alcoholism / substance abuse | Yes to Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Natural |
Current age or age of death | Starting from 76 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Natural |
Current age or age at time of death | Starting from 80 |
Grandfathers' eye colour (maternal and paternal) | MGF - blue, PGF - brown |
Grandmothers' eye colour (maternal and paternal) | All brown |
Grandfathers' hair colour (maternal and paternal) | MGF - blonde, PGF - black |
Grandmothers' hair colour (maternal and paternal) | Both black/ brown |
Health of grandmothers (maternal and paternal) | |
Health of grandfathers (maternal and paternal) | |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | All are coloureds except for my mother's father who were a white man |
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 would donate to anyone that wants to have a child |
Preferred town to donate | Port Elizabeth |
Towns available in which to donate - travel costs will be covered | Cape Town, Port Elizabeth |
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 |