S – TN 4072, Mthatha
Generate PDF| Availability status: | Available in all regions - travel costs |
| Race: | Black/African |
| Age: | 18 |
| Hair colour: | Black |
| Eye colour: | Brown |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | No |
| Other physical information: | 1.58m., 52kg. |
| Face shape: | Inverted Triangle |
| Other personal information: | South African nationality, Xhosa ancestry. Candidate is a student. Non-smoker. Reason for donating: I want people who want to have children to get that wonderful chance. To my recipient, I hope everything works out for you and I'll put you in my prayers. |
| Reproduction history: | No children and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | Everyone should practice and believe what they feel is right for them. |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Mthatha |
| In which province do you live? | Eastern Cape |
| Nationality | South African |
| Where were you born? | Flagstaff, Eastern Cape |
| What language(s) do you speak? | IsiXhosa and English |
| Year of birth | 2007 |
| Age | 18 |
| Star sign | Gemini |
| 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 people who want to have children to get that wonderful chance. To my recipient, I hope everything works out for you and I'll put you in my prayers. |
| How do you best describe yourself? | Empathethic and sensitive. |
| Relationship status | Single |
Physical profile
| Race | Black/African |
| Skin complexion | Brown |
| Face shape | Inverted Triangle |
| Nose shape defined by Wikipedia | African - wide nostrilled nose |
| Eye shape | Round Almond |
| Height in metres | 1.58 |
| Weight in kilograms | 52 |
| What is your usual or ideal weight? | 48.7 |
| Build and body shape | Medium size |
| Which body part is most sensitive to weight gain or loss? | Arms |
| Eye colour | Brown |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Afro |
| Hair texture | medium |
| Description of hands and fingers | Medium sized hand with fine nail beds. |
| Cup size | B |
| Shoe size | 3 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Ama Qamata |
| How many siblings do you have? | 5 |
| Sibling 1 Hair Colour | Black |
| Sibling 1 Eye Colour | Brown |
| Sibling 1 Build | Tall and curvaceous |
| Sibling 2 Hair Colour | Black |
| Sibling 2 Eye Colour | Brown |
| Sibling 2 Build | medium height and chubby |
| Sibling 3 Hair Colour | Black |
| Sibling 3 Eye Colour | Brown |
| Sibling 3 Build | A bit tall |
| Sibling 4 Hair Colour | Black |
| Sibling 4 Eye Colour | Brown |
| Sibling 4 Build | Light skinned with a medium height. |
| Sibling 5 Hair Colour | Black |
| Sibling 5 Eye Colour | Brown |
| Sibling 5 Build | Tall and slim |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 0 |
| Fertility issues | None |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Moderate |
| Any current diseases? | No |
| Current health status lifestyle and/ or current diseases | Healthy |
| Smoker | never smoked |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Since Early Adulthood |
| How would you rate your sight? | 7 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Yes |
| 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 | No |
| 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 on injetion contraception. |
| 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. | Yes |
| Details of any operations? | I have had no operations in my life |
| 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? | A few times a week |
| In which exercises or sports do you partake now? | I do home workouts 4 times a week. |
| Have you excelled in any sports? | No |
| What sports did you play at school? | None |
Professional and academic information
| Occupation | Student |
| What is your ideal career/ occupation? | Health Coach |
| What are you doing to get to your desired profession in life? | I'm studying at university called University of Fort Hare. |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | English 86%, IsiXhosa 80%, Mathematical Literacy 68%, Life Orientation 85%, Geography 80%, History 73%, Life Sciences 53% |
| What is the name of any course / degree completed? | None |
| Planned studies | I'm planning on studying Human Movement Science and get my honours and Masters after finishing my first degree. |
| In what aspects do you have a keen interest? | Education and Health |
| What type of books do you like to read? | fiction |
| 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? | Family |
| If you had unlimited resources and could save one thing on earth what would it be? | Water |
| What are your views on religion and spirituality, and practiced religion? | Everyone should practice and believe what they feel is right for them. |
| Childhood religion? | Christianity |
| Any specific achievements or aspects of recognition in your family | None |
| Interests and hobbies | Reading, taking part in the school's activities and events. |
| What is your preferred holiday? | Beach |
| If you were offered an all-inclusive holiday, what would it be? | Beach, hiking and mountain |
| Which interesting places have you visited? | Steve Biko Memorial centre |
| What are your feelings on animal welfare? | Anything that harms animals should not be done no matter how beneficial it is to humans. |
| Strength and weaknesses | Cooking and comforting people |
| What do others generally think of you? | People think I'm nice but a little unapproachable at first sight. |
| Favourite flower | Daffodils |
| What is your favourite meal? | Creamy macaroni and chicken |
| What is your favourite movie? | Finding Dora |
| What is your favourite book? | Atomic Habits |
| Who is your favourite actor? | Warren Masemola |
| Who is your favourite actress? | Thuso Mbedu |
| What is your favourite colour? | Pink |
| What is your favourite colour lipstick? | Nude |
| What is your favourite perfume? | Avon Scent Mix |
| Who is your favourite person? | My niece |
| 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? | No |
| Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
| Do you prefer indoors or outdoors? | Outdoors |
| Which weather do you prefer? | cold |
| Are you more creative or analytical? | creative |
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 IsiXhosa |
| Professions for mother and father | Mom - Professional nurse, Dad - Retired educator |
| Achievements on an academic level for mother and father | Mom - Diploma in nursing, Dad - Degree in education |
| Race for mother and father | Both black |
| Natural hair colour for mother and father | Both black |
| Eye colour for mother and father | Mom - Black, Dad - Brown |
| Height for mother and father | Mom - 1.82m., Dad - 1.90m. |
| Mother and father build | Mom - A bit tall and big, Dad - slim but able-bodied. |
| Any specific defining traits for both parents | Mom - Loving and protective,Dad - protective |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | Mom - 51, Dad - 53 |
| Health status | Both healthy |
| Please indicate if any twins in your family | No |
| Any family members who have had cancer including aunts or uncles? | No |
| 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? | No |
| 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 | 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 | My family is an average healthy South African family. |
| Alcoholism / substance abuse | Only my father |
| Grandmothers still alive? | No to Both |
| If deceased, state cause of death | Both natural causes |
| Current age or age of death | MGM -80, PGM - 85 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Both natural causes. |
| Current age or age at time of death | MGF - 75, PGF - 68 |
| Grandfathers' eye colour (maternal and paternal) | Both brown |
| Grandmothers' eye colour (maternal and paternal) | MGM - black, PGM - brown |
| Grandfathers' hair colour (maternal and paternal) | Both black |
| Grandmothers' hair colour (maternal and paternal) | Both black |
| Health of grandmothers (maternal and paternal) | Both d eceased |
| Health of grandfathers (maternal and paternal) | Both deceased |
| 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 of which I am aware. |
Egg donation stipulations
| Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | I have no condition. |
| Preferred town to donate | Johannesburg |
| Towns available in which to donate - travel costs will be covered | Cape Town, Johannesburg, Port Elizabeth, Durban, Bloemfontein |
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 |
