S – EM 4224, Cape Town
Generate PDF| Availability status: | Available now in Cape Town |
| Race: | Coloured |
| Age: | 21 |
| Hair colour: | Brown |
| Eye colour: | Brown |
| Has children: | No |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.65m., 63kg., olive skin complexion. |
| Face shape: | Square |
| Other personal information: | Christian, South African nationality, AB+ blood type. Candidate is a foundation phase student. Non-smoker. Reason for donating: I would like to help someone have the blessing of becoming a mom. |
| Reproduction history: | No children 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? | Cape Town, Western Cape |
| Nationality | South African |
| Where were you born? | Cape Town |
| What language(s) do you speak? | English and Afrikaans |
| Year of birth | 2003 |
| Age | 21 |
| Star sign | Aquarius |
| Blood group (if known) | AB+ |
| Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I would like to help someone to have the blessing of being a mom. |
| How do you best describe yourself? | An extrovert, hard working and caring |
| Relationship status | Serious relationship |
Physical profile
| Race | Coloured/ Mixed Race |
| Skin complexion | Olive |
| Face shape | square |
| Nose shape defined by Wikipedia | African - wide nostrilled nose |
| Eye shape | Round |
| Height in metres | 1.65 |
| Weight in kilograms | 63 |
| What is your usual or ideal weight? | 63kg. |
| Build and body shape | Small calves, skinny long arms, thick thighs and big breasts |
| Which body part is most sensitive to weight gain or loss? | My thighs |
| Eye colour | Brown |
| Natural hair colour | Brown |
| Hair colour as a child | Light brown |
| Hair type | Curly |
| Hair texture | Fine |
| Description of hands and fingers | Long and skinny fingers and toes |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Size 5 shoe, 34G bra cup, one dimple. |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Amber Rose |
| Siblings physical traits - hair and eye colour, height, weight and build | No siblings |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. and ages of children (if applicable) | None |
| 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. | One glass of wine every now and then (maybe every three months) |
| Do you wear glasses? | Since childhood |
| How would you rate your sight? | 3/10 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | Acne and eczema |
| 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 indictaed |
| Have you had any cancer? | No |
| Have you had any heart problems? | No |
| Please indicate if you have any allergies | None indicated |
| 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 indicated |
| Any physical handicaps or deformaties? If yes, please state. | None indicated |
| 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 indicated |
| History of asthma | No |
| Indicate any medication you are taking and reason for it. | None indicated |
| Have you ever been addicted to any substances? | Yes |
| Have you partaken in any recreational drugs had tattoos or piercings in the last six months? Please explain. | None indicated, addiction was to sleeping tablets for two years, around early 2023, |
| Details of any operations? | None indicated |
| 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 indicated |
| Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | None indicated |
| How often do you excercise? | -1 |
| In which exercises or sports do you partake now? | Walking |
| Have you excelled in any sports? | Figure skating and dancer |
| What sports did you play at school? | Netball, cross country, long distance and ballet |
Professional and academic information
| Occupation | Student |
| What is your ideal career/ occupation? | Grade R Educator |
| What are you doing to get to your desired profession in life? | Studying foundation phase education |
| Do you have a matric and university exemption? | Matric and Exemption |
| Subjects and grades or marks at school | English (A/B), Afrikaans (A/B), Life Orientation, Accounting, Pure Mathematics, Geography, Economics - D’s, |
| What is the name of any course / degree completed? | TEFL, Higher certificate in early childhood development and education, all the PlaySA courses |
| Planned studies | Special needs education |
| In what aspects do you have a keen interest? | Special needs education |
| What type of books do you like to read? | Non-fiction |
| 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? | Never |
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? | Adopt as many children as possible |
| What are your views on religion and spirituality, and practiced religion? | I am a Christian |
| Childhood religion? | Christianity |
| Any specific achievements or aspects of recognition in your family | Not applicable |
| Interests and hobbies | Cooking, cleaning, teaching and volunteering at a baby home |
| What is your preferred holiday? | Stay at Home, Beach |
| If you were offered an all-inclusive holiday, what would it be? | |
| Which interesting places have you visited? | Upington and Johannesburg |
| What are your feelings on animal welfare? | I have adopted three dogs from the AACL |
| Strength and weaknesses | Strength - I am academically oriented and like donating, weakness - caring too much |
| What do others generally think of you? | I am kind and a loving person |
| Favourite flower | Daisies |
| What is your favourite meal? | Butter chicken curry |
| What is your favourite movie? | Me and my mind: Selena Gomez |
| What is your favourite book? | If You Loved Yourself, What Would You Do Now?: How to not hate yourself and feel better about yourself in your mind body and health, sex, money, food, by Eilat Aviram |
| Who is your favourite actor? | George Clooney |
| Who is your favourite actress? | Julia Roberts |
| What is your favourite colour? | Blue |
| What is your favourite colour lipstick? | Red |
| What is your favourite perfume? | Miracle by Lancome |
| 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? | -1 |
| Are you musical or played any musical instruments? | I used to play piano and guitar |
| Are you more cultural or more adventurous? | More Adventurous |
| Do you prefer indoors or outdoors? | Outdoors |
| Which weather do you prefer? | Rain |
| Are you more creative or analytical? | 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 | English and Afrikaans |
| Professions for mother and father | Project manager and Teacher |
| Achievements on an academic level for mother and father | Mom - project manager, busy with her masters; dad - qualified accounting teaching |
| Race for mother and father | Both coloured |
| Natural hair colour for mother and father | Both brown |
| Eye colour for mother and father | Both brown |
| Height for mother and father | Mom - 1.63m., dad - 1.9m. |
| Mother and father build | Mom - strong and curvy, dad - slim |
| Any specific defining traits for both parents | Not applicable |
| Are your parents still alive? | Yes to Both |
| If deceased, cause of death | Not applicable |
| Age (if living, or age deceased) | Mom - 59, dad - 63 |
| Health status | Mom - osteoarthritis, dad - average |
| Please indicate if any twins in your family and the relationship to you | Paternal cousins have twins |
| Please list any family members who have had cancer including aunts or uncles and on which family side | Paternal aunt (stomach) and uncle (unknown) had cancer |
| 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? | Mom - osteoarthritis, Paternal uncles - diabetes |
| 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 of which I am aware. |
| Any physical deformaties or handicaps? If yes, please state | None |
| History of asthma | No To Both |
| 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 | MGM - natural death, PGM - old age (94) |
| Current age or age of death | MGM - 75, PGM - 94 |
| 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) | Both brown/ black |
| Grandmothers' eye colour (maternal and paternal) | Both brown |
| Grandfathers' hair colour (maternal and paternal) | MGF - black, PGF - black/ brown |
| Grandmothers' hair colour (maternal and paternal) | Both light brown |
| Health of grandmothers (maternal and paternal) | Fairly good |
| 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 coloured |
| 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 | Cape Town |
| Towns available in which to donate - travel costs will be covered | Cape Town |
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 |
