A – SA 2679, Modimolle
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria - travel costs |
Race: | Black/ African |
Age: | 26 |
Hair colour: | Dark brown medium hair |
Eye colour: | Brown eyes |
Has children: | Yes |
Proven donor | Yes |
Post matric studies: | Yes |
Other physical information: | 1.58m., 55kg., slim body, 34B breast cup, size 6 shoe, beautiful skin, one dimple |
Face shape: | Oval |
Other personal information: | South African nationality, Christian. Candidate is a student and aspires to be a safety inspector. Non-smoker. Reason for donating: My best friend is unable to have children so I know or can relate to the pain that they are feeling or going through. I would like to help other couples who can't conceive. |
Reproduction history: | One son and good quality eggs in previous donation. |
What are your views on religion and spirituality, and practiced religion? | I am a religious person. I'm a Christian |
SKU: 66436
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Modimolle, Limpopo |
Nationality | South African |
Where were you born? | South Africa |
What language(s) do you speak? | Afrikaans, English and Sepedi |
Year of birth | 1995 |
Age | 26 |
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? | My best friend is unable to have children so, in some way, can relate to the pain that she is feeling or going through. I would like to help other couples who can't conceive. If I was in the same situation I would want someone to help me. |
How do you best describe yourself? | I'm both an introvert and and extrovert meaning I love spending time with others but there are times when I just need my own space. I'm not a party person. My idea of fun is going out for dinner and going to the movies. I'm a Christian |
Relationship status | Serious relationship |
Physical profile
Race | Black/African |
Skin complexion | Medium |
Face shape | oval |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Almond |
Height in metres | 1.58m. |
Weight in kilograms | 55kg. |
What is your usual or ideal weight? | 53-55 |
Build and body shape | Fit body |
Which body part is most sensitive to weight gain or loss? | My stomach and around my waist and my buttocks |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Black |
Hair type | Coarse |
Hair texture | medium |
Description of hands and fingers | I've got beautiful hands and I believe I have long fingers |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | 34B breast cup, size 6 shoe, beautiful skin, one dimple |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Simphiwe Ngema |
Siblings physical traits - hair and eye colour, height, weight and build |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | One child born 2016 |
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. | Don't drink alcohol |
Do you wear glasses? | Never |
How would you rate your sight? | Good |
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? | No |
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? | I walk alot and I go jogging now and then when I find the time |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Netball, volleyball, table-tennis and athletics |
Professional and academic information
Occupation | Still a student |
What is your ideal career/ occupation? | I want to become a health inspector because I'm such a germ freak |
What are you doing to get to your desired profession in life? | I work hard |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | English, Afrikaans, Business Studies, Geography, Maths, Life Orientation, Tourism |
What is the name of any course / degree completed? | N/A |
Planned studies | |
In what aspects do you have a keen interest? | I have a lot of interest in working with people, especially children |
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? | Don't remember the score |
Behavioural traits
What is most important in life to you? | My son |
If you had unlimited resources and could save one thing on earth what would it be? | I would turn the clock back to the Adam and Eve days before the snake interfered |
What are your views on religion and spirituality, and practiced religion? | I am a religious person. I'm a Christian |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | |
Interests and hobbies | I love singing, watching movies and reading |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | I've been around South Africa but never abroad |
What are your feelings on animal welfare? | I love animals and I feel it's our job to take care and protect them |
Strength and weaknesses | Strength - I'm a good listener and enjoy helping people; weakness - I have a short temper |
What do others generally think of you? | Loving and caring |
Favourite flower | Lily |
What is your favourite meal? | Pap and boerewors |
What is your favourite movie? | War Room |
What is your favourite book? | Macbeth |
Who is your favourite actor? | I don't really have a favourite |
Who is your favourite actress? | I don't really have a favourite |
What is your favourite colour? | Purple |
What is your favourite colour lipstick? | Burgundy |
What is your favourite perfume? | La vie este belle |
Who is your favourite person? | My son |
Are you more introverted or extroverted? | Introverted |
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? | I love singing. I used to be part of the worship team at church |
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 | Mom - Afrikaans, dad - Sepedi |
Professions for mother and father | N/A |
Achievements on an academic level for mother and father | N/A |
Race for mother and father | Mom - Coloured, dad - Black/ African |
Natural hair colour for mother and father | Both black |
Eye colour for mother and father | Mom - brown, dad - black |
Height for mother and father | Unknown |
Mother and father build | Unknown |
Any specific defining traits for both parents | None |
Are your parents still alive? | No To Both |
If deceased, cause of death | Natural causes |
Age (if living, or age deceased) | Mom - 48, dad - unsure |
Health status | Good when alive |
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? | Aunt - 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? | 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 | 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 | Good health |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Unknown |
Current age or age of death | N/A |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Unknown |
Current age or age at time of death | Unknown |
Grandfathers' eye colour (maternal and paternal) | Unknown |
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) | Not applicable |
Health of grandfathers (maternal and paternal) | Not applicable |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Maternal grandmother- black, maternal grandfather - mixed race, paternal grandparents - 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 | None |
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 | Pretoria |
Towns available in which to donate - travel costs will be covered |
Confirmation
I have only made myself available as an egg donor with baby2mom. | No |
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 |