Matchmaker Application Form
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SECTION ONE :DESCRIBE
YOURSELF
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| First
Name: |
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| Last
Name |
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| Street |
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| City |
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| State/Prov. |
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| ZIP |
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| Country |
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| E-mail
Address |
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| Area code and Phone |
(optional) |
| Birth
Date Age |
(mm/dd/yy) |
| Country
of birth |
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| Religion |
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| Occupation? |
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| Marital
Status |
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| Height |
(1ft = 30.48 cm). , (1inche = 2.54 cm.)
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| Weight |
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| Hair
Color |
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| Eye
Color |
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| Skin
Color |
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| My
family is from City
Country |
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| For Females only Dou yo
wear hair cover?
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| Do
you smoke? |
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What
are the languages that you speak?
(Select ALL Languages that you speak.) |
To select more than one hold <Ctrl> while clicking.
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| What is the
farthest you will travel to meet your partner? |
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SECTION TWO: Special Conditions for your partner
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| Age
range desired? |
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What
are the languages that your partner has to speak?
(Select ALL Required Languages .) |
To select more than one hold <Ctrl> while clicking.
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| My
partner originally family has to be from No country desired? |
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| I am
looking for a partner who lives in: No desired area? |
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Acceptable
marital status?
(Select ALL that
you are willing to marry.) |
To select more than one hold <Ctrl> while clicking.
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| For males only Should
your wife cover her hair ? |
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| For males only Should
your wife work ? |
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| Can
your partner smoke? |
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| Can your partner
have children living at home? |
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SECTION THREE :DESCRIBE
YOUR LIFE
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| Write what you
want to say about your life. You can enter five
adjectives that describe you.
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Comments about
your study.
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An Idea about
your work.
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| Your Hobbies: You
can enter six activities that you enjoy.
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Your Faith : |
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What you are
seeking for:
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Additional
Comments :
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