S - SN 3005, Elliot (6 hour drive from PE)

S – SN 3005, Elliot (6 hour drive from PE)

Availability status:	Available now in Port Elizabeth - travel costs
Race:	Black
Age:	23
Hair colour:	Black
Eye colour:	Brown
Has children:	No
Proven donor	No
Post matric studies:	Yes
Other physical information:	1.6m., 75kg., curvy
Face shape:	Round
Other personal information:	South African nationality, Xhosa speaking, Christian. Candidate holds a higher certificate in Accounting. She comes from a very academic family. Non-smoker. Reason for donating: I would like to help someone who does not have the ability to have their own baby because of their eggs.
Reproduction history:	No children and no donations as yet.
What are your views on religion and spirituality, and practiced religion?	Christian

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Category: Active Donor

Additional donor information

Initial information

Physical profile

Reproductive information

Health of egg donor

Are you a twin?	No
Are you adopted?	No
Current health status lifestyle and/ or current diseases	Health is excellent and no diseases
Smoker	never smoked
Alcohol consumption per week.	None
Do you wear glasses?	Since Early Adulthood
How would you rate your sight?	Well
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc	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?	Migraine
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.	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?	Tonsils
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

Behavioural traits

What is most important in life to you?	Family and my happiness
If you had unlimited resources and could save one thing on earth what would it be?	Nature
What are your views on religion and spirituality, and practiced religion?	Christian
Childhood religion?	Christian
Any specific achievements or aspects of recognition in your family	None
Interests and hobbies	Reading, cooking, traveling, walking and watching movies
What is your preferred holiday?
If you were offered an all-inclusive holiday, what would it be?
Which interesting places have you visited?	Cape Town,
What are your feelings on animal welfare?	I'm not really an animal lover
Strength and weaknesses	Strength - I am a confident and self driven person; weakness - I am always putting others before myself
What do others generally think of you?	They see me a quiet person
Favourite flower	Sunflower
What is your favourite meal?	Wrap
What is your favourite movie?	Bird box
What is your favourite book?	Think like a woman act like a man
Who is your favourite actor?
Who is your favourite actress?
What is your favourite colour?	Burgundy
What is your favourite colour lipstick?	Maroon
What is your favourite perfume?
Who is your favourite person?
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 really
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?
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	Both Xhosa
Professions for mother and father	Teacher and Researcher
Achievements on an academic level for mother and father	Mom master degree, dad - PhD in sociology
Race for mother and father	Both black
Natural hair colour for mother and father	Both black
Eye colour for mother and father	Both brown
Height for mother and father	Standard height
Mother and father build	Mom - curvy, dad - chubby
Any specific defining traits for both parents	Mom - talkative, dad - reserved and quiet
Are your parents still alive?	Yes to Both
If deceased, cause of death	Not applicable
Age (if living, or age deceased)	51 and 56
Health status	Good
Please indicate if any twins in your family and the relationship to you	Yes, paternal uncles
Please list any family members who have had cancer including aunts or uncles and on which family side	Paternal great grandmother
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	Only my mother
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?	Only PGM
If deceased, state cause of death	Unknown she died when mom was still young
Current age or age of death	Unsure
Grandfathers still alive?	No to Both
If deceased, state cause of death	Accident
Current age or age at time of death	Unsure
Grandfathers' eye colour (maternal and paternal)	Both brown
Grandmothers' eye colour (maternal and paternal)	Both brown
Grandfathers' hair colour (maternal and paternal)	Both black
Grandmothers' hair colour (maternal and paternal)	Both black
Health of grandmothers (maternal and paternal)	Good
Health of grandfathers (maternal and paternal)
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

Confirmation

In which town and province do you live?	Elliot
Nationality	South African
Where were you born?	Queenstown
What language(s) do you speak?	Xhosa, English and a bit of Sesotho
Year of birth	1997
Age	23
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 would like to help someone who does not have the ability to have their own baby because of their eggs.
How do you best describe yourself?	Family oriented reserved person
Relationship status	New relationship

Race	Black/African
Skin complexion	Brown
Face shape	round
Nose shape defined by Wikipedia	African - wide nostrilled nose
Eye shape	Round Almond
Height in metres	1.6m.
Weight in kilograms	75kg.
What is your usual or ideal weight?	75kg.
Build and body shape	Curvy
Which body part is most sensitive to weight gain or loss?	Stomach and theighs
Eye colour	Brown
Natural hair colour	Black
Hair colour as a child	Black
Hair type	Afro
Hair texture	medium
Description of hands and fingers	Thin long fingers
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc	Breast 34C, size 4/ 5 shoe, waist 36, no freckles
Are you left handed or right handed?	Right handed
With celebrity do you most resemble - physically?
Siblings physical traits - hair and eye colour, height, weight and build	Black hair, brown eyes, tall, slim, well built

Occupation	Student
What is your ideal career/ occupation?	Accountant
What are you doing to get to your desired profession in life?	Studying
Do you have a matric and university exemption?	Matric and Exemption
Subjects and grades or marks at school	Commercial subjects and D
What is the name of any course / degree completed?	Higher certificate in accountancy
Planned studies	Diploma in accountancy
In what aspects do you have a keen interest?
What type of books do you like to read?
Would you prefer to read the book or watch the movie?	Both
Do you know if your IQ was ever tested and the score please?	No

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	Port Elizabeth
Towns available in which to donate - travel costs will be covered

I have only made myself available as an egg donor with baby2mom.	Yes
Please advise any specific donation criteria other than those mentioned
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

Donor profiles

S – SN 3005, Elliot (6 hour drive from PE)

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