S – TS 4237 Gauteng
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | Black |
Age: | 22 |
Hair colour: | Black |
Eye colour: | Black |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.59m., 61kg. |
Face shape: | Round |
Other personal information: | South African nationality, Tanzanian ancestry. Candidate is an only child. She completed a Business Administration course and currently looking for internships. She is a hard working young lady, kind at heart, humble and smiles a lot. Non-smoker. Reason for donating: My kind heart led me here, seeing how my parents are happy with me, I think every woman deserves to be as happy as my mom is with me and knowing I have the capability of helping someone out there and granting them the chance to conceive and that happiness it would really make me happy and give me a purpose in this life that I could help my fellow woman. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | None |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Gauteng |
Nationality | Black |
Where were you born? | South Africa |
What language(s) do you speak? | English |
Year of birth | 2000 |
Age | 22 |
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? | I believe every woman deserves the chance to feel the joy of becoming a mother, and knowing that I have the capability of giving another woman a chance to that joy it makes me more that happy to wanna help out . |
How do you best describe yourself? | I am a very determined young lady that grabs opportunities and works hard to prove myself to that. I am very kind at heart and humble. I love spending time with family, I love helping especially if I know I have the capability to help. |
Relationship status | Single |
Physical profile
Race | Black/African |
Skin complexion | Brown |
Face shape | round |
Nose shape defined by Wikipedia | African - wide nostrilled nose |
Eye shape | Round |
Height in metres | 1.59m. |
Weight in kilograms | 61kg. |
What is your usual or ideal weight? | 64kg. |
Build and body shape | Curved |
Which body part is most sensitive to weight gain or loss? | Arms |
Eye colour | Black |
Natural hair colour | Black |
Hair colour as a child | Black |
Hair type | Afro |
Hair texture | Fine |
Description of hands and fingers | Straight fingers and normal hands |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Breast cup 34B, size 6 shoe, neither freckles nor dimples |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Ryan destiny/ Elaine |
Siblings physical traits - hair and eye colour, height, weight and build | Not Applicable |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | Not Applicable |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Not applicable |
Smoker | never smoked |
Alcohol consumption per week. | None |
Do you wear glasses? | Never |
How would you rate your sight? | 100% |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Puberty acne |
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. | Not Applicable |
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. | Not applicable |
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? | When I Get A Chance |
In which exercises or sports do you partake now? | None |
Have you excelled in any sports? | Netball |
What sports did you play at school? | Netball |
Professional and academic information
Occupation | Graduate |
What is your ideal career/ occupation? | Supply chain Manager |
What are you doing to get to your desired profession in life? | Studying majoring in supply chain |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | 45%-60% |
What is the name of any course / degree completed? | Diploma in Business Administration |
Planned studies | 3 years |
In what aspects do you have a keen interest? | Work in a good firm |
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? | Not Applicable |
Behavioural traits
What is most important in life to you? | My health |
If you had unlimited resources and could save one thing on earth what would it be? | My mother |
What are your views on religion and spirituality, and practiced religion? | None |
Childhood religion? | Islam |
Any specific achievements or aspects of recognition in your family | Graduate |
Interests and hobbies | Reading |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Not applicable |
What are your feelings on animal welfare? | |
Strength and weaknesses | Very emotional |
What do others generally think of you? | Iam very Kind |
Favourite flower | Lavenders |
What is your favourite meal? | Starch |
What is your favourite movie? | Note book |
What is your favourite book? | Things fall apart |
Who is your favourite actor? | Denzel Washington |
Who is your favourite actress? | Taraj p Henson |
What is your favourite colour? | White |
What is your favourite colour lipstick? | Lip gloss |
What is your favourite perfume? | Anything with flowers or candy |
Who is your favourite person? | My mother |
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? | Not Applicable |
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 | African |
Country of origin and ancestry for mother and father | Mom - South African, dad - Tanzanian |
Language spoken for mother and father | English and Swahili |
Professions for mother and father | Self employed |
Achievements on an academic level for mother and father | Not Applicable |
Race for mother and father | Black |
Natural hair colour for mother and father | Blay |
Eye colour for mother and father | Black |
Height for mother and father | Unknown |
Mother and father build | Unknown |
Any specific defining traits for both parents | Not applicable |
Are your parents still alive? | Only my mother |
If deceased, cause of death | Dad - diabetes |
Age (if living, or age deceased) | 42 |
Health status | Not applicable |
Please indicate if any twins in your family and the relationship to you | Paternal uncles |
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 | 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? | No to Both |
If deceased, state cause of death | Old age |
Current age or age of death | Unknown |
Grandfathers still alive? | Only PGF |
If deceased, state cause of death | MGF - unknown |
Current age or age at time of death | Unknown |
Grandfathers' eye colour (maternal and paternal) | Black |
Grandmothers' eye colour (maternal and paternal) | Black |
Grandfathers' hair colour (maternal and paternal) | Black |
Grandmothers' hair colour (maternal and paternal) | Black |
Health of grandmothers (maternal and paternal) | Unknown |
Health of grandfathers (maternal and paternal) | Unknown |
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 | Not Applicable |
Preferred town to donate | Johannesburg |
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 | Not Applicable |
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 |