S – SO 3200, Cape Town
Generate PDFAvailability status: | Available now in Cape Town |
Race: | Mixed race |
Age: | 24 |
Hair colour: | Brown |
Eye colour: | Light brown |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.66m., 75kg., average build. |
Face shape: | Oval |
Other personal information: | South African nationality, German, Scottish and St Helenic ancestry, O+ blood group. Candidate is a a teaching student and loves children. She has an interest in arts and describes herself as caring and enthusiastic. Non-smoker. Reason for donating: I want to give someone a chance at having a baby. I know how important children are to me so to be able to help someone that cannot conceive on their own means a lot to me. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I follow Islam |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Cape Town, Western Cape |
Nationality | South African |
Where were you born? | South African |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 2000 |
Age | 24 |
Star sign | Cancer |
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? | I want to give someone a chance at having a baby. I know how important children are to me so to be able to help someone that cannot conceive on their own means a lot to me. |
How do you best describe yourself? | I am a caring and enthusiastic person, very modest. I love the outdoors and animals. |
Relationship status | Serious relationship |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Fair |
Face shape | Oval |
Nose shape defined by Wikipedia | Roman - Convex undulating nose |
Eye shape | Almond |
Height in metres | 1.66 |
Weight in kilograms | 75 |
What is your usual or ideal weight? | |
Build and body shape | Average build |
Which body part is most sensitive to weight gain or loss? | Arms and face |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Straight |
Hair texture | medium |
Description of hands and fingers | Big hands with long fingers |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup B, size 5/ 6 shoe, dimples. |
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 | Healthy |
Smoker | never smoked |
Alcohol consumption per week. | |
Do you wear glasses? | Never |
How would you rate your sight? | |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | |
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? | |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | |
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. | |
Any physical handicaps or deformaties? If yes, please state. | |
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? | |
History of asthma | No |
Indicate any medication you are taking and reason for it. | No |
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. | |
Details of any operations? | I had my grommets removed and I broke my wrist, this was also before the age of 12. |
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. | |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Walking and cardio |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Hockey and softball |
Professional and academic information
Occupation | Teacher and principle at a pre-primary. |
What is your ideal career/ occupation? | Teacher or nurse |
What are you doing to get to your desired profession in life? | I am a teacher. |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | English, Afrikaans, Mathematics, Geography, History, Life Sciences |
What is the name of any course / degree completed? | Pediatric first aid, I have quite a few. 1.Infant and Toddler 0-3 Montessori Certificate. 2. Further Education & Training Certificate in ECD, NQF level 4. 3. Pre-primary 3-6 Montessori Diploma. 4. National Diploma in ECD, NQF level 5. |
Planned studies | Currently studying |
In what aspects do you have a keen interest? | Arts and religion, as well as health care |
What type of books do you like to read? | |
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? |
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? | I would help people in war stricken countries and help them emigrate to countries where they can feel safe and can look after their families |
What are your views on religion and spirituality, and practiced religion? | I follow Islam |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | No |
Interests and hobbies | Sports, arts |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | None |
What are your feelings on animal welfare? | I feel that animals have the same rights as humans |
Strength and weaknesses | I am very mature and independent bit I can also be very shy and indecisive |
What do others generally think of you? | I am caring and reliable |
Favourite flower | Daisy |
What is your favourite meal? | Pasta |
What is your favourite movie? | Letters to Juliet |
What is your favourite book? | I don't know |
Who is your favourite actor? | Liam Hemsworth |
Who is your favourite actress? | Emma stone |
What is your favourite colour? | Lavender |
What is your favourite colour lipstick? | Nude |
What is your favourite perfume? | Vanilla |
Who is your favourite person? | My grandmother |
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? | Yes. I sing and I play guitar |
Are you more cultural or more adventurous? | More Cultural |
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 | Mom - German and Saint Helenian, dad - German and Scottish |
Language spoken for mother and father | Both English |
Professions for mother and father | Mom - ETD practitioner, dad - meat specialist |
Achievements on an academic level for mother and father | Mom - degree in philosophy, dad - diploma |
Race for mother and father | Mom - coloured, dad - white |
Natural hair colour for mother and father | Mom - light brown, dad - brown |
Eye colour for mother and father | Mom - green, dad - brown |
Height for mother and father | Mom - 1.71m., dad - 1.78m. |
Mother and father build | Both average build |
Any specific defining traits for both parents | Dimples, cleft chin, devils peak hair line |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 54, dad - 50 |
Health status | Both healthy |
Please indicate if any twins in your family and the relationship to you | No |
Please list any family members who have had cancer including aunts or uncles and on which family side | No |
Any fertility problems in your family | My maternal aunt |
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? | Diabetes, thyroid |
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 | |
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 |
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 | MGM - 90, PGM - 78 |
Grandfathers still alive? | Only PGF |
If deceased, state cause of death | MGF - heart attack |
Current age or age at time of death | MGF -passed at 65, PGF- currently 86 |
Grandfathers' eye colour (maternal and paternal) | MGF - brown, PGF - blue |
Grandmothers' eye colour (maternal and paternal) | MGM - green and grey, PGM - brown |
Grandfathers' hair colour (maternal and paternal) | MGF - dark brown, PGF - dark blonde |
Grandmothers' hair colour (maternal and paternal) | MGM - auburn, PGM - brown |
Health of grandmothers (maternal and paternal) | Both healthy |
Health of grandfathers (maternal and paternal) | PGF - alzheimer's and parkinson's disease |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | MGM - mixed race (white and coloured), MGF - mixed race (white and coloured), PGM - white, PGF - white |
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 | Cape Town |
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 | 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 |