S – ZM 6825, Pretoria
Generate PDF| Availability status: | Available now in Johannesburg and Pretoria |
| Race: | Black/African |
| Age: | 19 |
| Hair colour: | Black |
| Eye colour: | Brown |
| Has children: | No |
| Smoker: | never smoked |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | Height: 1.59 meters Weight: 63 kg. Tanned skin complexion |
| Face shape: | Oval |
| Other personal information: | Religion: I believe that everyone is entitled to believe in whatever they want to believe in as long as it does not harm others Nationality: South African Blood Group: A+ I am a proper example of an ambivert. Smoker: never smoked Reason for Donating: I want to help out women who are unable to conceive naturally. |
| Reproduction history: | Has Children: No Number of Children: 0 Have you donated eggs before: No |
| What are your views on religion and spirituality, and practiced religion? | I believe that everyone is entitled to believe in whatever they want to believe in as long as it does not harm others |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Pretoria |
| In which province do you live? | Gauteng |
| Where were you born? | Pretoria, Gauteng |
| What language(s) do you speak? | English Setswana Afrikaans |
| Year of birth | 2007 |
| Age | 19 |
| Star sign | Aquarius |
| Relationship status | Single |
| Have you donated eggs before? | No |
Other personal info
| Religion | I believe that everyone is entitled to believe in whatever they want to believe in as long as it does not harm others |
| Nationality | South African |
| Blood group (if known) | A+ |
| I am a proper example of an ambivert. | |
| Smoker | never smoked |
| Reason for donating | I want to help out women who are unable to conceive naturally. |
Physical profile
| Race | Black/African |
| Skin complexion | Olive |
| Face shape | Oval |
| Nose shape defined by Wikipedia | Snub |
| Eye shape | Almond |
| Height in metres | 1.59 |
| Weight in kilograms | 63 |
| What is your usual or ideal weight? | 60 |
| Build and body shape | I am quite medium built and healthy looking |
| Which body part is most sensitive to weight gain or loss? | My arms |
| Eye colour | Brown |
| Natural hair colour | Black |
| Hair colour as a child | Black |
| Hair type | Afro |
| Hair texture | Thick |
| Description of hands and fingers | Small slender fingers and medium size nail beds |
| Cup size | C34 |
| Shoe size | 4 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Mandisa Nduna |
| How many siblings do you have? | 3 |
| Sibling 1 Hair Colour | Black |
| Sibling 1 Eye Colour | Brown |
| Sibling 1 Build | Muscular and tall |
| Sibling 2 Hair Colour | Black |
| Sibling 2 Eye Colour | Brown |
| Sibling 2 Build | A bit muscular not so tall |
| Sibling 3 Hair Colour | Black |
| Sibling 3 Eye Colour | Brown |
| Sibling 3 Build | Slim and short |
Reproductive information
| Are you a virgin? | Yes |
| 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 |
| Alcohol consumption per week. | 1_drink |
| Do you wear glasses? | Since a teen |
| How would you rate your sight? | 7 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | No |
| 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 | Yes |
| Please list | Pollen |
| 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. | None |
| 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? | Tonsillectomy |
| 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? | When I Get A Chance |
| In which exercises or sports do you partake now? | None |
| Have you excelled in any sports? | Yes |
| What sports did you play at school? | Netball |
Professional and academic information
| Occupation | Full time student |
| What is your ideal career/ occupation? | Musical theatre actress |
| What are you doing to get to your desired profession in life? | Studying theatre and performance |
| Do you have a matric and university exemption? | Only Matric |
| Subjects and grades or marks at school | English 82% Afrikaans 60% Maths Lit 78% LO 78% Life Science 60% CAT 75% History 78% |
| What is the name of any course / degree completed? | Still studying |
| Planned studies | Currently studying theatre arts at TUT |
| In what aspects do you have a keen interest? | In spirituality and psychology |
| What type of books do you like to read? | non-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? | A strong community |
| If you had unlimited resources and could save one thing on earth what would it be? | The human race |
| Childhood religion? | Catholic |
| Any specific achievements or aspects of recognition in your family | None of which I am aware. |
| Interests and hobbies | Interested in theatre and I walk daily |
| What is your preferred holiday? | International |
| If you were offered an all-inclusive holiday, what would it be? | A trip to the Maldives |
| Which interesting places have you visited? | I havent visted any interesting places due to financial constraints |
| What are your feelings on animal welfare? | I am not a fan of zoo's and feel like animal should be properly taken care of because i believe that they also have feelings |
| Strength and weaknesses | Strengths - cooking, debate, cleaning Weaknesses - conflict with others |
| What do others generally think of you? | I am compassionate and emotionally intelligent |
| Favourite flower | Lily and hibiscus |
| What is your favourite meal? | Beef stew with creamy samp and creamy spinach |
| What is your favourite movie? | Sinners |
| What is your favourite book? | The boy in stripped pyjamas |
| Who is your favourite actor? | Will Smith |
| Who is your favourite actress? | Dawn Thandeka King |
| What is your favourite colour? | Sage green |
| What is your favourite colour lipstick? | Plum |
| What is your favourite perfume? | Cherry blossom and green tea by Elizabeth Arden |
| 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? | Depends on the situation |
| Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
| Do you prefer indoors or outdoors? | Depending on the Situation |
| Which weather do you prefer? | cold |
| Are you more creative or analytical? | analytical |
Family information of genetic parents
| Nationality for mother and father | Both South Aftican |
| Country of origin and ancestry for mother and father | Both South Africa |
| Language spoken for mother and father | Mom - English Setswana <br /> Dad - English Setswana and Zulu |
| Professions for mother and father | Mom - Educator Dad - Pensioner |
| Achievements on an academic level for mother and father | Mom - 4 BA degrees Dad - Matric |
| Race for mother and father | Both black/African |
| Natural hair colour for mother | Black |
| Natural hair colour for father | Black |
| Eye colour for mother | Brown |
| Eye colour for father | Brown |
| Height for mother and father | Mom - 165m. Dad- 1.69m. |
| Mother and father build | Mom - heavy Dad - muscular |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | Mom - 57 Dad - 63 |
| Health status | Both healthy |
| Please indicate if any twins in your family | Yes |
| Details of twins | My PGF was a twin |
| 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 quite moderate in health only a few allergies |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | No to Both |
| If deceased, state cause of death | MGM - natural causes PGM- natural causes |
| Current age or age of death | MGM - 68 PGM - 50 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | Both natural causes |
| Current age or age at time of death | MGF - 58 PGF - 67 |
| Grandfathers' eye colour (maternal) | Brown |
| Grandfathers' eye colour (paternal) | Brown |
| Grandmothers' eye colour (maternal) | Brown |
| Grandmothers' eye colour (paternal) | Brown |
| Grandfathers' hair colour (maternal) | Black |
| Grandfathers' hair colour (paternal) | Black |
| Grandmothers' hair colour (maternal) | Black |
| Grandmothers' hair colour (paternal) | Black |
| Health of grandmothers (maternal and paternal) | Both healthy |
| Health of grandfathers (maternal and paternal) | Both healthy |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | MGF- Black/African PGF- Black/African MGM- Black/African PGF- Black/African |
| 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 | They were very moderately healthy |
Egg donation stipulations
| Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | Im open to donating to anyone in need |
| Preferred town to donate | Pretoria |
| 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 | 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 |
