JMIC Marriage Service Enrollment Form
Enrol to the JMIC Marriage Service
* Required
Email address
*
Your email
ABOUT YOU
Tell us about yourself
First Name
*
Your answer
Surname
*
Your answer
Gender
*
Female
Male
Date of birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Height -Ft & Inches (eg. 5ft 8in)
*
Your answer
Build
*
Slim
Athletic
Average
Heavy
Complexion
*
Medium
Fair
Dark
Caste (leave blank if prefer not to say or unimportant)
Your answer
Nationality
*
Your answer
Disabilities (if applicable)
Your answer
Languages Spoken
*
English
Arabic
Urdu/Hindi
Punjabi
Tamil
Bengali
Other
Language
English
Arabic
Urdu/Hindi
Punjabi
Tamil
Bengali
Other
Language
Address
*
Your answer
Town
*
Your answer
Postcode
*
Your answer
Landline Phone No
Your answer
Mobile Phone No
*
Your answer
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