Muslim Matrimonial Web - Online Application
Please fill the below form as completely as possible. Please note, any field with an asterisks must be answered in order to submit the form. Once done, send a recent picture of your self to along with your name. A picture is required for an application to be considered complete. Your privacy is critical to us. The answers on this form and your picture will ONLY be shared with potential matches.
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Full Name *
Date of Birth *
Your Gender *
Your Phone Number *
Email *
Marital Status *
Ethnicity *
How Young can your Partner be? *
How Old Can your Partner be? *
Optional Questions
We highly recommend that you answer as many questions as you can. Remember, you don't have to answer everything. Just answer what you feel comfortable answering. The more questions you answer, the better chance you will have of finding a suitable match.

If you'd rather not answer any more questions, simply scroll down to the bottom and hit submit
Your Address
Your City of Residence *
Your State of Residence *
Parent's Phone
Height *
If previously married, do you have children? *
Do your children live with you? *
If yes to children, list gender and age of each child
Clear selection
Religion *
Religious Level *
For Sisters, Do you wear Hijab *
Highest Education Level *
Country of Origin *
Years in USA *
What Language(s) can you speak *
Visa Status *
Employment Status *
Job Title *
Mother's Name *
Mother’s Place of Birth
Mother’s Current City of Residence *
Mother’s Profession (if applicable)
Father’s Name *
Father’s Place of Birth
Father’s Current City of Residence *
Father’s Profession (if applicable
List any siblings and sibling’s ages/genders
Hobbies/Interests *
Personal Information
Do you smoke? *
Do you drink Alcohol? *
Willing to relocate? *
Are you willing to live with his or her family? *
Please include any other additional information about yourself you may feel is necessary.
Preferences for Future Spouse
Desired Marital Status *
Would you consider someone with children?   *
If yes, is there a desired age range for children?
Desired Religion *
Desired Religious Level *
Desired Minimum Education Level *
Desired Visa Status *
Is willing to relocate? *
What other requirements do you have in a spouse?
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