JMIC Marriage Service Enrollment Form
Enrol to the JMIC Marriage Service
* Required
Email address
*
Your email
Reason for Registering
*
Choose
Finding Myself A Partner
Finding my Child A Partner
Finding my Sibling A Partner
Other
ABOUT YOU
Tell us about yourself
First Name
*
Your answer
Surname
*
Your answer
Mobile Phone No
*
Your answer
Landline Phone No
Your answer
First Line of Address
*
Your answer
Town
*
Your answer
Postcode
*
Your answer
Gender
*
Female
Male
Date of birth
*
MM
/
DD
/
YYYY
Nationality
*
Your answer
Ethnicity
*
Your answer
Marital Status
*
Choose
Never Married
Divorced
Widowed
Number of Children Dependant on You
*
Choose
0
1
2
3 or more
Current Circumstances
*
Choose
Homeowner
Live with Parents
Renting
Other
Height -Ft & Inches (eg. 5ft 8in)
*
Your answer
Build
*
Slim
Athletic
Average
Heavy
Complexion
*
Medium
Fair
Dark
Disabilities (if applicable)
Your answer
Religiousness
Choose
Very Religious
Religious
Somewhat Religious
Not Religious
Perform Salah / Namaz
Choose
Always
Sometimes
Hardly Ever
Never
Your Appearance (Male)
Choose
No Beard
Short Beard
Long Beard
Your Appearance (Female)
Choose
No Hijab
Hijab and Regular Clothes
Hijab and Jilbab
Niqab
Habits (That a potential suitor will need to be aware of, e.g. smoking)
Your answer
Caste (leave blank if prefer not to say or unimportant)
Your answer
Main Language Spoken
*
Your answer
Other Languages Spoken
*
English
Arabic
Urdu/Hindi
Punjabi
Tamil
Bengali
Other
Language
English
Arabic
Urdu/Hindi
Punjabi
Tamil
Bengali
Other
Language
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