A – RR 4123, Midrand
Generate PDF| Availability status: | Available now in Johannesburg and Pretoria |
| Race: | Black/African |
| Age: | 21 |
| Hair colour: | Black |
| Eye colour: | Brown |
| Has children: | No |
| Proven donor | Yes |
| Post matric studies: | Yes |
| Other physical information: | 162m., 53kg., thin and short |
| Face shape: | Round |
| Other personal information: | Christian, South African nationality. Candidate is a BSc Medicine student. She loves playing chess, pool and reading books. Non-smoker. Reason for donating: Children are the most precious gift, never forget that. |
| Reproduction history: | No children and proven donor. |
| What are your views on religion and spirituality, and practiced religion? | I am a Christian. |
Category: Active Donor
Additional donor information
Initial information
| In which town and province do you live? | Midrand, Gauteng |
| Nationality | South African |
| Where were you born? | Johannesburg hospital |
| What language(s) do you speak? | Sepedi |
| Year of birth | 2003 |
| Age | 21 |
| Star sign | Capricorn |
| 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? | Having to go through menstruation every month losing an egg, when this very same egg could make a difference in someone's life...offering them a chance in life to experience such a blissful feeling. |
| How do you best describe yourself? | Very kind, bubbly, love being around people, I love challenges, science and I'm a very curious person. I always have a reason to be grateful and happy. |
| Relationship status | Single |
Physical profile
| Race | Black/African |
| Skin complexion | Brown |
| Face shape | square |
| Nose shape defined by Wikipedia | -1 |
| Eye shape | Round |
| Height in metres | 1.62 |
| Weight in kilograms | 53 |
| What is your usual or ideal weight? | |
| Build and body shape | Thin, curvy-ish |
| Which body part is most sensitive to weight gain or loss? | Thighs |
| Eye colour | Brown |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Afro |
| Hair texture | medium |
| Description of hands and fingers | Long pretty fingers, light skinned hands |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | 34B breast cup, size 6 shoe, neither freckles nor dimples. |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | I'm not quite sure |
| Siblings physical traits - hair and eye colour, height, weight and build | Black hair, brown eyes, 0.7-1.7m, 20-60kg, all normally built |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. and ages of children (if applicable) | None |
| Fertility issues | None |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Current health status lifestyle and/ or current diseases | Healthy |
| Smoker | never smoked |
| Alcohol consumption per week. | None |
| Do you wear glasses? | Never |
| How would you rate your sight? | Perfect |
| 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? | None |
| 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. | 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. | No |
| 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? | Running, jogging. |
| Have you excelled in any sports? | Yes, running |
| What sports did you play at school? | Springs |
Professional and academic information
| Occupation | Student |
| What is your ideal career/ occupation? | Gynaecologist |
| What are you doing to get to your desired profession in life? | Studying Bsc in Biomedicine |
| Do you have a matric and university exemption? | Matric and Exemption |
| Subjects and grades or marks at school | Physical sciences, life sciences, mathematics |
| What is the name of any course / degree completed? | Not completed yet |
| Planned studies | Medicine |
| In what aspects do you have a keen interest? | Anything that has to do with Biology, so Medical sciences |
| What type of books do you like to read? | |
| 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? | My future and career |
| If you had unlimited resources and could save one thing on earth what would it be? | Physically, sexually, emotionally abused women. |
| What are your views on religion and spirituality, and practiced religion? | I am a Christian. |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | School awards |
| Interests and hobbies | Chess, pool, reading books |
| What is your preferred holiday? | |
| If you were offered an all-inclusive holiday, what would it be? | |
| Which interesting places have you visited? | Sterkfontein caves, Cape Town |
| What are your feelings on animal welfare? | Animals need to be taken care both physically and mentally |
| Strength and weaknesses | Strength - public speaking, weakness - impatience. |
| What do others generally think of you? | They think I'm smart, loving and just fun to be around. |
| Favourite flower | Lillies |
| What is your favourite meal? | McDonald's Big Mac meal |
| What is your favourite movie? | Crazy rich Asians |
| What is your favourite book? | Lesley Pearse Liar |
| Who is your favourite actor? | Martin Lawrence |
| Who is your favourite actress? | Tiffany Haddish |
| What is your favourite colour? | Black |
| What is your favourite colour lipstick? | Maroon |
| What is your favourite perfume? | Avon |
| Who is your favourite person? | My mother |
| Are you more introverted or extroverted? | Extroverted |
| 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? | 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 | Sepedi |
| Professions for mother and father | Chartered Accountant and self-employed |
| Achievements on an academic level for mother and father | Unsure |
| Race for mother and father | Both black |
| Natural hair colour for mother and father | Both black |
| Eye colour for mother and father | Brown |
| Height for mother and father | Mom - 1.7m., dad - around 2m. |
| Mother and father build | Quite tall |
| Any specific defining traits for both parents | None |
| Are your parents still alive? | Yes to Both |
| If deceased, cause of death | Not applicable |
| Age (if living, or age deceased) | 42 and 49 |
| Health status | Healthy |
| Please indicate if any twins in your family and the relationship to you | Yes my grandmother has a twin, she also gave birth to twins which are my aunties |
| Please list any family members who have had cancer including aunts or uncles and on which family side | None of which I am aware |
| 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 of which I am aware. |
| 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 | -1 |
| 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 | 80 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Natural causes/ old age |
| Current age or age at time of death | 70 |
| Grandfathers' eye colour (maternal and paternal) | I'm not sure |
| Grandmothers' eye colour (maternal and paternal) | Brown |
| Grandfathers' hair colour (maternal and paternal) | Unsure |
| Grandmothers' hair colour (maternal and paternal) | Black |
| Health of grandmothers (maternal and paternal) | Healthy |
| Health of grandfathers (maternal and paternal) | Nòt 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 | Unsure |
| 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 | Unsure |
| Preferred town to donate | Pretoria |
| Towns available in which to donate - travel costs will be covered | Johannesburg, Pretoria |
Confirmation
| I have only made myself available as an egg donor with baby2mom. | Yes |
| Please advise any specific donation criteria other than those mentioned | Not sure at the moment |
| 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 |
