A – TN 3936, Johannesburg
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | Black |
Age: | 25 |
Hair colour: | Black |
Eye colour: | Brown |
Has children: | Yes |
Proven donor | Yes |
Post matric studies: | Yes |
Other physical information: | 1.58m., 49kg., fit build. |
Face shape: | Round |
Other personal information: | South African nationality, Christian. Candidate is a student. She enjoys singing and book reading. She is an introvert. Non-smoker. Reason for donating: Ive seen the pain of not being able to have a child with one of my family members and would love to help at least 1 of 3 women out there to smile and be happy. |
Reproduction history: | One child and proven donor resulting in a pregnancy and child born. |
What are your views on religion and spirituality, and practiced religion? | I am a committed Christian |
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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? | KZN |
What language(s) do you speak? | Isizulu ,English ,Tswana |
Year of birth | 1997 |
Age | 25 |
Star sign | Libra |
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? | Ive seen the pain of not being able to have a child with one of my family members and would love to help at least 1 of 3 women out there to smile and be happy. |
How do you best describe yourself? | Focused, introvert with multiple talents |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Medium |
Face shape | round |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Round |
Height in metres | 1.58 |
Weight in kilograms | 49 |
What is your usual or ideal weight? | 52kg. |
Build and body shape | Fit |
Which body part is most sensitive to weight gain or loss? | Butt |
Eye colour | Brown |
Natural hair colour | Black |
Hair colour as a child | Brown |
Hair type | Curly |
Hair texture | medium |
Description of hands and fingers | Short and light |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup 34A, size 28/S, size 3 or 4 shoe, dimples. |
Are you left handed or right handed? | Left handed |
With celebrity do you most resemble - physically? | |
How many siblings do you have? |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | |
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 | Healthy |
Smoker | Ex-smoker |
Alcohol consumption per week. | None |
Do you wear glasses? | Never |
How would you rate your sight? | Perfect |
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? | 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? | None |
Have you excelled in any sports? | Olympics |
What sports did you play at school? | Olympics |
Professional and academic information
Occupation | Student |
What is your ideal career/ occupation? | Programmer and software engineer |
What are you doing to get to your desired profession in life? | Studying |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | High grades |
What is the name of any course / degree completed? | Still studying |
Planned studies | N/A |
In what aspects do you have a keen interest? | Media and modelling |
What type of books do you like to read? | |
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? | My daughter |
If you had unlimited resources and could save one thing on earth what would it be? | Travel the world |
What are your views on religion and spirituality, and practiced religion? | I am a committed Christian |
Childhood religion? | Christianity |
Any specific achievements or aspects of recognition in your family | None |
Interests and hobbies | Taking pictures and coming up with great outfit ideas |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Pretoria |
What are your feelings on animal welfare? | Very much interested |
Strength and weaknesses | Cares even with stranger and very emotional |
What do others generally think of you? | Selfless |
Favourite flower | White roses |
What is your favourite meal? | Pizza |
What is your favourite movie? | Mr bones |
What is your favourite book? | Who moved the cheese |
Who is your favourite actor? | Tailor Perry |
Who is your favourite actress? | Buhle Samuels |
What is your favourite colour? | Cream white and grey |
What is your favourite colour lipstick? | Nude |
What is your favourite perfume? | Little miss black dress |
Who is your favourite person? | My mom |
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 sing |
Are you more cultural or more adventurous? | More Adventurous |
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 | Zulu |
Professions for mother and father | Have their own company |
Achievements on an academic level for mother and father | N/A |
Race for mother and father | Both black |
Natural hair colour for mother and father | Black |
Eye colour for mother and father | Not sure |
Height for mother and father | Not sure |
Mother and father build | Mom is chubby and dad is slim |
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) | Not indicated |
Health status | Mom had cancer, dad is okay |
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 | Mom |
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 | -1 |
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? | No to Both |
If deceased, state cause of death | Unknown |
Current age or age of death | Unknown |
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) | Unknown |
Grandfathers' hair colour (maternal and paternal) | Black |
Grandmothers' hair colour (maternal and paternal) | Black |
Health of grandmothers (maternal and paternal) | Healthy |
Health of grandfathers (maternal and paternal) | Healthy |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | None |
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 | 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 |