S – RS 6260, Johannesburg
Generate PDF| Availability status: | Available now in Johannesburg and Pretoria |
| Race: | Black/African |
| Age: | 18 |
| Hair colour: | Black |
| Eye colour: | Brown |
| Has children: | No |
| Smoker: | never smoked |
| Proven donor | No |
| Post matric studies: | No |
| Other physical information: | 1.56m. 68kg |
| Face shape: | Round |
| Other personal information: | South African nationality. Candidate is a BSc student. She describes herself as diligent, dedicated and a perfectionist. Non-smoker. Reason for Donating: The thought of helping a couple bring a gift into this world brightens up my day. I know a few people who aren't able to conceive. Message to recipient I hope I can bring some light into your life, that you will forever love and cherish. |
| Reproduction history: | Has Children: No Number of Children: 0 Have you donated eggs before: No |
| What are your views on religion and spirituality, and practiced religion? | Fully Christian and believe only one God. Jesus Christ is our Lord and Saviour |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Braamfontein |
| In which province do you live? | Gauteng |
| Nationality | South African |
| Where were you born? | Lichtenburg, North West province |
| What language(s) do you speak? | English, Afrikaans, Setswana |
| Year of birth | 2007 |
| Age | 18 |
| Star sign | Pisces |
| 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? | The thought of helping a couple bring a gift into this world brightens up my day. I know a few people who aren't able to conceive. My message would be : I hope I can bring some light into your life, that you will forever love and cherish. |
| How do you best describe yourself? | Diligent, dedicated and a perfectionist |
| Relationship status | Single |
| Have you donated eggs before? | No |
Physical profile
| Race | Black/African |
| Skin complexion | Fair |
| Face shape | Round |
| Nose shape defined by Wikipedia | African - wide nostrilled nose |
| Eye shape | Thin Almond |
| Height in metres | 1.56 |
| Weight in kilograms | 68 |
| What is your usual or ideal weight? | 68 |
| Build and body shape | Curvy thick build |
| 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 | Afro |
| Hair texture | medium |
| Description of hands and fingers | Short, slightlychubby fingers |
| Cup size | 36E |
| Shoe size | 4 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Busiswa |
| How many siblings do you have? | 1 |
| Sibling 1 Hair Colour | Black |
| Sibling 1 Eye Colour | Brown |
| Sibling 1 Build | Slightly chubby 10 year old boy |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 0 |
| Fertility issues | None of which I am aware. |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Moderate |
| Any current diseases? | No |
| Smoker | never smoked |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Never |
| How would you rate your sight? | 9 |
| 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 | No |
| 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. | Nurofen for period pains |
| 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. | No |
| How often do you excercise? | When I Get A Chance |
| In which exercises or sports do you partake now? | Friendly netball |
| Have you excelled in any sports? | High school netball |
| What sports did you play at school? | Netball |
Professional and academic information
| Occupation | Student |
| What is your ideal career/ occupation? | Pharmacist or lab scientist |
| What are you doing to get to your desired profession in life? | Currently studying BSc at Wits |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | ENGLISH 80% AFRIKAANS 88% CAT 78% MATHS 72 % PHYSICS 69 % LO 85% LIFE SCIENCES 76% |
| What is the name of any course / degree completed? | Not yet completed - BScBiological Sciences |
| Planned studies | BSc Biological Sciences |
| In what aspects do you have a keen interest? | Human Anatomy History Science |
| 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 |
| If you had unlimited resources and could save one thing on earth what would it be? | Biodiversity |
| What are your views on religion and spirituality, and practiced religion? | Fully Christian and believe only one God. Jesus Christ is our Lord and Saviour |
| Childhood religion? | Christianity |
| Any specific achievements or aspects of recognition in your family | My father was the first of his sibling to get an opportunity to study in university. My family is recognized for strong values around education, hardworking unity and community involvement. |
| Interests and hobbies | Crocheting Cooking Baking Reading Finding new restaurants Art exhibitions Scienceexpedition |
| What is your preferred holiday? | Stay at home |
| If you were offered an all-inclusive holiday, what would it be? | Private retreat holiday with family and outdoor activities |
| Which interesting places have you visited? | Museum Of Illusions Rosebank Wits Art Musuem Origins Centre |
| What are your feelings on animal welfare? | I support responsible ownership , love and care towards animals |
| Strength and weaknesses | Strengths - public speaking, diligence, hardworking, listening, empathy Weaknesses - patience, perfection |
| What do others generally think of you? | I am seemingly always happy no matter what |
| Favourite flower | Cherry blossom |
| What is your favourite meal? | Dumpling and beef stew |
| What is your favourite movie? | Love and wine |
| What is your favourite book? | Identity |
| Who is your favourite actor? | Edris Alba |
| Who is your favourite actress? | Viola Davis |
| What is your favourite colour? | Fuchsia |
| What is your favourite colour lipstick? | Nude |
| What is your favourite perfume? | Scandal |
| Who is your favourite person? | Myself |
| 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 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? | creative |
Family information of genetic parents
| Nationality for mother and father | Mom - South African Dad- South African |
| Country of origin and ancestry for mother and father | Mom - South Africa Dad - South Africa |
| Language spoken for mother and father | Mom- English, Afrikaans, Setswana Dad - English, Setswana |
| Professions for mother and father | Mom - Home-based care clinic worker Dad - Retired teacher and municipal worker |
| Achievements on an academic level for mother and father | Mom- matric dad - unisa Bachelor of education graduate |
| Race for mother and father | Mom - black Dad - black |
| Natural hair colour for mother | Black |
| Natural hair colour for father | Black |
| Eye colour for mother | Brown |
| Eye colour for father | Brown |
| Height for mother and father | Mom - 1.54m. Dad - 1.78m. |
| Mother and father build | Mom - curvy and thick Dad - lean |
| Are your parents still alive? | No To Both |
| If deceased, cause of death | Mom - enlarged heart dad - kidney failure |
| Age (if living, or age deceased) | Mom - 37 Dad - 46 |
| Health status | Both deceased |
| Please indicate if any twins in your family | No |
| Any family members who have had cancer including aunts or uncles? | No |
| 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 |
| Please provide details of health concerns in your family | Grandparents all have high blood pressure |
| 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 unusual diseases, just lifestyle-related issues |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | Yes to Both |
| Current age or age of death | MGM - 68 PGM - 79 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | MGF - 62 PGF - 71 |
| Current age or age at time of death | Unknown |
| Grandfathers' eye colour (maternal) | Black |
| Grandfathers' eye colour (paternal) | Brown |
| Grandmothers' eye colour (maternal) | Brown |
| Grandmothers' eye colour (paternal) | Brown |
| Grandfathers' hair colour (maternal) | Black |
| Grandfathers' hair colour (paternal) | Black |
| Grandmothers' hair colour (maternal) | Black |
| Grandmothers' hair colour (paternal) | Black |
| Health of grandmothers (maternal and paternal) | MGM - Arthritic PGM - HBP, but healthy |
| 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 | None |
| Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | No physical deformities, but high blood pressure |
Egg donation stipulations
| Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | N one at all, anyone can accept my donation |
| Preferred town to donate | Johannesburg |
| 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 | No |
| 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 |
