Match making PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle NameLast Name *Email Address *Phone Number *Date Of Birth *SEXWhats GenderMALEFEMALEHeight:Tell Us Your Height☐ Below 5ft☐ 5ft – 5’3″☐ 5’4″ – 5’7″☐ 5’8″ – 6ft☐ Above 6ftBody Stature:Tell Us Your Body Stature:☐ Skinny☐ Regular☐ Curvy☐ Muscular☐ Plump☐ Booty☐ BustyCOMPLEXION:TELL US YOUR COMPLEXION☐ Fair☐ Dark☐ Light-skinned☐ Chocolate☐ AlbinicPLACE OF ORIGINFILL YOUR PLACE OF ORIGIN INFORMATIONStreet AddressVillage & LGAYour Village and Local Government AreaTownFill Your Town OriginState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweResidence InfoFILL YOUR RESIDENCE INFORMATIONStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweReligion:ChristianityIslamTraditionalOther: ___________OTHERSECTION 2: BACKGROUNDHighest Academic Qualification: *☐ PhD☐ Master’s Degree☐ Bachelor’s Degree☐ HND/OND☐ Diploma☐ SSCE☐ Other: ___________OTHEREducation Level: *☐ Graduate☐ Diploma☐ School Cert☐ NoneOTHERWork / Career / Business: (Brief description or title) *0 / 20000Where did you grow up? (State & City) *0 / 20000Who raised you?:Who raised you?☐ Parents☐ Relations☐ Master/Mistress☐ Other: ___________Role Model (Name or Type of Person): *0 / 20000SECTION 3: HEALTH & GENETICSGenotype *Genotype:☐ AA☐ AS☐ SS☐ AC☐ Other: ___________OTHERBlood Group: *Blood Group:☐ A+☐ A−☐ B+☐ B−☐ AB+☐ AB−☐ O+☐ O−☐ Not sureOTHERSECTION 4: RELATIONSHIP HISTORYMarital Status: *☐ Single☐ Widowed☐ Separated☐ DivorcedPresently Engaged? *☐ Yes☐ NoAre you currently in a relationship? *☐ Yes☐ NoHave you gone for marriage counseling before? *☐ Yes☐ NoDo you have any children? *☐ Yes☐ NoIf yes, how many children?• ☐ 1• ☐ 2• ☐ 3• ☐ More than 3SECTION 5: SPOUSE PREFERENCESPreferred Age Range: *☐ 20–25☐ 26–30☐ 31–35☐ 36–40☐ 41 and abovePreferred Height: *☐ Below 5ft☐ 5ft – 5’3″☐ 5’4″ – 5’7″☐ 5’8″ – 6ft☐ Above 6ftPreferred Body Type: *☐ Slim☐ Curvy☐ Athletic☐ Plump☐ Doesn’t matterPreferred Complexion: *☐ Fair☐ Dark☐ Chocolate☐ Light-skinned☐ Doesn’t matterPreferred Work/Career/Business Type: (Optional)Preferred ReligionPreferred Religion:☐ Christianity☐ Islam☐ Traditional☐ No preferencePreferred Nationality / Tribe: (Optional)Briefly describe the kind of spouse you desire:E.g., God-fearing, family-oriented, ambitious, caring, fun-loving, etc.)SECTION 6: GUARANTORSYOUR GUARANTOR DETAILSNamePhoneEmail AddressRelationship to You: *Upload PictureChoose FileNo file chosenDelete uploaded fileINTERESTRELATIONSHIPMARRIAGERequest Quote
