Pre Registration Form

Thank you very much for interests in our service.

Please fill in the form to see if we can help you to find a future paftner.

If there is some criteria you hesitate to fill in, please leave it blank.

We will make a contact in case we can introduce a good match.

Thank you,

NEXUS Marriage Matchmaking

First Name *

Photo

Phone

Last Name *

Email *

Location

How did you hear about us? *

Gender *

Birthdate *

Relationship Status *

Ethnicity *

Faith/Religion *

Education *

Income

Do you have children? *

Do you want children/more children? *

Height *

Languages spoken

Do you smoke?

Do you drink?

Do you have pets?

What activities do you enjoy?

About me (Provide a short bio about you)

●If you wish counselling, please write 2-3 of your available dates, and place. ●If you need some information, please write here.

Preferred Age Range *

Preferred Marital Status *

Preferred Ethnicity *

Preferred Faith/Religion *

Preferred Education *

Preferred Income Level

Would you date someone with children? *

Would you date someone who wants children/more children?

Preferred Height Range

Preferred Body Type

Would you date someone who smokes?

Activities I would like to share with my partner

My deal breakers