S – SW 3957, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | Coloured |
Age: | 29 |
Hair colour: | Light brown curly hair |
Eye colour: | Brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 60kg., petite build. |
Face shape: | Diamond |
Other personal information: | South African nationality, Christian. Candidate works for a retail company. She is family oriented, very quiet and enjoys her own company. Non-smoker. reason for donating: It’s amazing to be a parent and to be able to give someone that opportunity is a blessing to me, just to know that I have helped some one reach that goal in life. |
Reproduction history: | Two daughters and no donations as yet. |
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? | Johannesburg, Gauteng |
Nationality | South African |
Where were you born? | South Africa,natalspruit hospital |
What language(s) do you speak? | English, Afrikaans |
Year of birth | 19930117 |
Age | 28 |
Star sign | Capricorn |
Blood group (if known) | Not Selected |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I am a mother of two beautiful girls, to be able to give someone such a blessing is enough for me. |
How do you best describe yourself? | Iam a loving, quiet person, I neither drink nor smoke. I am a family orientated person and enjoy my own company. |
Relationship status | Engaged |
Physical profile
Race | Coloured/ Mixed Race |
Skin complexion | Fair |
Face shape | diamond |
Nose shape defined by Wikipedia | Unanswered |
Eye shape | Asian |
Height in metres | |
Weight in kilograms | 60kg. |
What is your usual or ideal weight? | 65kg. |
Build and body shape | I am petite and my body shape is okay, |
Which body part is most sensitive to weight gain or loss? | |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Light brown |
Hair type | Curly |
Hair texture | medium |
Description of hands and fingers | My hands are small because I am a petite person, beautiful fingers. |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | I am a 34B cup, size 4 shoe. |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | |
Siblings physical traits - hair and eye colour, height, weight and build | The same as me my sister light brown hair with brown eyes,both my brothers have brown eyes and they have black hair |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | Two daughters born 2014 and 2020 |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Excellent |
Smoker | never smoked |
Alcohol consumption per week. | Non-drinker |
Do you wear glasses? | Never |
How would you rate your sight? | 100% |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | None |
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. | 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? | None |
History of asthma | No |
Indicate any medication you are taking and reason for it. | None indicated |
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. | None |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | None |
How often do you excercise? | Never |
In which exercises or sports do you partake now? | |
Have you excelled in any sports? | |
What sports did you play at school? | I was short distance runner |
Professional and academic information
Occupation | Receptionist |
What is your ideal career/ occupation? | I want to be a nurse |
What are you doing to get to your desired profession in life? | I'm going to enrol at Unisa |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | 60% upwards |
What is the name of any course / degree completed? | None as yet |
Planned studies | Aspire to studying nursing |
In what aspects do you have a keen interest? | Nursing |
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? | My children |
If you had unlimited resources and could save one thing on earth what would it be? | |
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 | |
Interests and hobbies | Fishing is one of my hobbies |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | |
What are your feelings on animal welfare? | |
Strength and weaknesses | |
What do others generally think of you? | Iam a sweet person |
Favourite flower | Rose |
What is your favourite meal? | Chilli cheese fries |
What is your favourite movie? | Best of me |
What is your favourite book? | Krismis van map jacobs |
Who is your favourite actor? | Will smith |
Who is your favourite actress? | Mariska hargitay |
What is your favourite colour? | Black |
What is your favourite colour lipstick? | Red |
What is your favourite perfume? | Mask marine |
Who is your favourite person? | My fiance |
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 use to be in a choir on primary school |
Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
Do you prefer indoors or outdoors? | Indoors |
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 | English and Afrikaans |
Professions for mother and father | Mom - stay at home mom, dad - boilermaker |
Achievements on an academic level for mother and father | Dad matriculated |
Race for mother and father | Both coloured |
Natural hair colour for mother and father | Light brown and brown |
Eye colour for mother and father | Both brown |
Height for mother and father | Mom - petite, dad - tall |
Mother and father build | Mom - petite build, dad - 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) | Mom - 54, dad - 58 |
Health status | Excellent |
Please indicate if any twins in your family and the relationship to you | My mom was a twin but her twin passed on, my brother has twins |
Please list any family members who have had cancer including aunts or uncles and on which family side | My PGM |
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 |
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 | Not Selected |
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? | Only MGM |
If deceased, state cause of death | Cancer |
Current age or age of death | |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Natural cause and my mother's father was brutally murdered |
Current age or age at time of death | |
Grandfathers' eye colour (maternal and paternal) | Brown |
Grandmothers' eye colour (maternal and paternal) | Brown |
Grandfathers' hair colour (maternal and paternal) | Black and brown |
Grandmothers' hair colour (maternal and paternal) | Black |
Health of grandmothers (maternal and paternal) | Good |
Health of grandfathers (maternal and paternal) | |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | |
Any genetic health or psychological concerns worth noting regarding your grandparents | Non |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | Non |
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 | 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 | 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 |