S – SS 3412, Durban
Generate PDF| Availability status: | Available now in Durban |
| Race: | Black |
| Age: | 22 |
| Hair colour: | Black |
| Eye colour: | Black |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 69kg., fit build. |
| Face shape: | Inverted Triangle |
| Other personal information: | South African nationality. Candidate is studying towards a Diploma in public administration. She enjoys going to the gym. Non-smoker. Reason for donating: I want to help. |
| Reproduction history: | No children and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | I believe in God so I'm not that much deep into my religion where else my parents does so I just follow them |
Category: Active Donor
Additional donor information
Initial information
| In which town and province do you live? | Durban, Kwazulu Natal |
| Nationality | South African |
| Where were you born? | Nongoma |
| What language(s) do you speak? | English and isizulu |
| Year of birth | 1998 |
| Age | 22 |
| Star sign | Aries |
| 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 help. |
| How do you best describe yourself? | I'm a bubbly person, I easily get long with different people and I'm an extrovert person |
| Relationship status | Serious relationship |
Physical profile
| Race | Black/African |
| Skin complexion | Brown |
| Face shape | inverted triangle |
| Nose shape defined by Wikipedia | Unanswered |
| Eye shape | Round |
| Height in metres | |
| Weight in kilograms | 68.9 kg |
| What is your usual or ideal weight? | My ideal is 75kg |
| Build and body shape | Tall and thick |
| Which body part is most sensitive to weight gain or loss? | My stomach and face |
| Eye colour | Black |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Straight |
| Hair texture | Not Selected |
| Description of hands and fingers | Normal there's nothing wrong |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | I'm size 6 I don't have freckles nor dimples |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Not sure |
| Siblings physical traits - hair and eye colour, height, weight and build | Black hair, black eyes, most of them are tall in height |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. and ages of children (if applicable) | N/A |
| 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 | No concerns |
| Smoker | never smoked |
| Alcohol consumption per week. | I only drink on special occasions |
| Do you wear glasses? | Never |
| How would you rate your sight? | Excellent |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Acne problems |
| 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 | I don't 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. | 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. | I'm not talking any medication |
| 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? | Daily |
| In which exercises or sports do you partake now? | Body building |
| Have you excelled in any sports? | Yes |
| What sports did you play at school? | Ladies soccer |
Professional and academic information
| Occupation | Assistant at gym |
| What is your ideal career/ occupation? | Doing something something way more creative than doing it for money |
| What are you doing to get to your desired profession in life? | I believe in myself |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | English, isiZulu, Life Orientation, Physical science, Agricultural science,Mathematics |
| What is the name of any course / degree completed? | Public Administration in Local Government (still pending) |
| Planned studies | I'm still studying I'll consider that once I finish |
| In what aspects do you have a keen interest? | Achieving my goals |
| 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? | I never tested it |
Behavioural traits
| What is most important in life to you? | I think it being able to finance my self I mean money and family |
| If you had unlimited resources and could save one thing on earth what would it be? | Limiting poverty |
| What are your views on religion and spirituality, and practiced religion? | I believe in God so I'm not that much deep into my religion where else my parents does so I just follow them |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | I'm the loudest |
| Interests and hobbies | Intrested in traveling and playing games and the hobbies are cooking, football and going to gym |
| What is your preferred holiday? | |
| If you were offered an all-inclusive holiday, what would it be? | |
| Which interesting places have you visited? | Tala collection game reserve, Ushaka Marine world and Dube trade port |
| What are your feelings on animal welfare? | I love them far from me I can't babysit animals |
| Strength and weaknesses | Strengths - focused and creative; weaknesses - public speaking, presentation skills and insecurities |
| What do others generally think of you? | They think I am talkative |
| Favourite flower | None |
| What is your favourite meal? | Pizza, Mogodu and hot wings |
| What is your favourite movie? | Acrimony |
| What is your favourite book? | |
| Who is your favourite actor? | Siyabonga Thwala |
| Who is your favourite actress? | Dawn Thandeka King |
| What is your favourite colour? | Navy and grey |
| What is your favourite colour lipstick? | Nude |
| What is your favourite perfume? | Cologne |
| Who is your favourite person? | My mom |
| Are you more introverted or extroverted? | Extroverted |
| Would you prefer to go out with friends or stay in with a loved one or book? | Unanswered |
| Are you musical or played any musical instruments? | I used to sing at church |
| Are you more cultural or more adventurous? | More Cultural |
| Do you prefer indoors or outdoors? | Outdoors |
| 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 | Both English, isiZulu and afrikaans |
| Professions for mother and father | Mom - housewife, dad - SAPS |
| Achievements on an academic level for mother and father | Mom - matric, dad - SAPS certificate and matric |
| Race for mother and father | Both black |
| Natural hair colour for mother and father | Both black |
| Eye colour for mother and father | Both 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? | Yes to Both |
| If deceased, cause of death | Not applicable |
| Age (if living, or age deceased) | Mom - 40, dad - 56 |
| Health status | Excellent |
| Please indicate if any twins in your family and the relationship to you | My brother gave birth to twins |
| 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 | 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? | None |
| 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 | Acne problems |
| Any other comments regaring any health aspects in your family | None |
| Alcoholism / substance abuse | Only my father |
| Grandmothers still alive? | Yes to Both |
| If deceased, state cause of death | Not applicable |
| Current age or age of death | MGM - 72, PGM - 102 |
| 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) | Both black |
| Grandmothers' eye colour (maternal and paternal) | Both black |
| Grandfathers' hair colour (maternal and paternal) | Both black |
| Grandmothers' hair colour (maternal and paternal) | Both black |
| Health of grandmothers (maternal and paternal) | Very good |
| Health of grandfathers (maternal and paternal) | Very good |
| 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 | 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 | Durban |
| 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 | 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 |
