Match registration form
Name
First Name
Last Name
Gender
Male
Female
Sexual orientation
Heterosexual
Homosexual
Bisexual
Birth Date:
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
E-mail
Phone Number:
-
Area Code
Phone Number
Closest station to Home
Current occupation
Link to linkedin profile
Estimated annual income
under 25,000
under 35,000
under 50,000
under 75,000
under 100,000
under 250,000
under 500,000
under 1,000,000
over 1,000,000
Current living arrangements
House/Flat share
Living with family
Renting alone
Living in owned property alone.
Tick if living with children you are responsible for under 18
Are you a homeowner?
Yes
No
Have you lived in any other country other than the UK, if so where?
Ethnicity
Caucasian
Black African
Black Caribbean
Latino
Mixed Race
South Asian
East Asian
Middle Eastern
Other
Children
Have child/children and want more
Have child/children and don't want more
Dont have, and don't intend to.
Don't have, would definitely like to.
Dont have and open to it.
Undecided.
If you have children, please include how many and ages.
Relationship status
Single never married
Divorced
Legally separated
Widowed
Religious views
Christian
Jewish
Agnostic
Atheist
Spiritual
Buddhist
Catholic
Muslim
Hindu
Sikh
Jain
Tell us about your education and working background. Including degrees attained and institutions attended.
Languages spoken
What are your current aspirations, both professionally and personally?
How do you mainly spend your time outside of work?
Height
4'11
5'0
5'1
5'2
5'3
5'4
5'5
5'6
5'7
5'8
5'9
5'10
5'11
6'0
6'1
6'2
6'3
6'4
6'5
6'6
6'7
6'8
6'9
6'10
6'11
7'0
Build
Slim
Average
A few extra pounds
Athletic
Hair colour
Black
Brown
Blonde
Red
Grey
Salt and Pepper
Bald
Eye Colour
Dark Brown
Hazel
Green
Blue
Grey
Hair length
Bald
Short Shaved/Cropped
Long
Medium
Which diet do you follow? (allergies not included)
I eat most things
Vegetarian
Pescatarian
Vegan
Are you a smoker?
No never
Regularly
Occassionally
Do you drink alcohol?
Yes
No
How frequently do you travel outside of the country you live per year?
1-2
3-4
5-6
7-8
8-9
10 or more
What is the reason for most of your travel?
Work
Holidays
Balance of both
How would friends describe your personality?
Please detail some of your most memorable travel and life experiences
What are some of the books which have most influenced the way you think?
What has been your longest relationship to date?
How long have you been single?
Do you see yourself living full time with a partner in future?
Describe your ideal partner in as much detail as possible
Age range willing to date
Ethnicities willing to date
Caucasian
Black
Mixed Race
South Asian
East Asian
Arabic
Hispanic
Other
Please tell us about the last three people you dated, for more than a month, ie, age, height, ethnicity, occupation. ( just for us to know what you tend to go for)
Please tell us anything else you feel we should know, including your deal breakers.
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