MATRIMONIAL REQUEST FORM

 

Please print a copy of this form, completely fill and fax it to (905) 602-6355. Call brother Mir Sultan at: (905) 568-0774, or email at: "mir@unitedcanda.org" to get more information about this service.

PERSONAL INFORMATION

Last Name: First Name:
Place of Birth: Age (years):
Nationality: Religion:
Height: Weight:
Marital Status:      Single:

Parent's Information:

Parent's Place Of Birth

Father's Name:

Nationality:

City:                                         

Country:

Mother's Name:

Nationality:

City:                                         

Country:

ACADEMIC INFORMATION

Highest Degree/Dip.  Achieved: Institution:
Year (awarded or expected): Major Field of Study:
PROFESSIONAL INFORMATION
Employment Status:     Employed:
Industry or Trade: Position Held:
Years of Experience: Annual Income:

SPOUSE PREFERENCES  (Briefly describe your expectations)

 

 

 

 

CONTACT INFORMATION

Phone (Home): Phone (Work):
Phone (Mobile): E-mail:
City: Country:

REFERENCES

Reference 1: Phone :
Reference 2: Phone :

This is a free introduction service for those intending to join in wedlock.