PERSONAL INFORMATION
Title:
--
Mr
Mrs
Miss
Ms
First Name :
Gender:
--
M
F
Last Name:
Date of Birth:
/
/
Status:
--
Single
Widowed
Divorced
Separated
Star Sign:
--
Aquarius
Pisces
Taurus
Aries
Gemini
Cancer
Leo
Virgo
Libra
Scorpio
Sagittarius
Capricorn
Nationality:
Aboriginal
American
Australian
Canadian
Caucasian
Chinese
Croation
Czech
English
European
Filipino
French
German
Greek
Indian
Irish
Italian
Japanese
Korean
New Zealand
PNG
Polish
Polynesian
Russian
Scottish
Serb
Taiwanese
Turkish
Occupation:
Work Phone:
Mobile :
Home Phone:
First Year in Australia:
Street Address:
City:
Post Code:
State:
--
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
NZ
N/A
Country:
E-mail Address:
Children :
--
None
1
2
3
4
5 or more
Height :
--
Short
Average
Tall
Weight :
kg
Hair Col:
--
Ash-blonde
Auburn/Burgundy
Black
Blonde
Blonde/Brown
Dark Blonde
Dark Brown
Mousy Blonde
Grey
Grey/Blonde
Light Brown
Red
Red/Blonde
Brown
Black/Grey
Brown/Grey
Hair Length:
--
Very short
Short
Medium
Long
Very Long
Curly
Bald
Eyes:
--
Blue
Blue/Green
Blue/Grey
Brown
Dark
Dark Blue
Green
Grey
Grey/Green
Hazel
Complexion:
--
Brown
Very Fair
Fair
Fair-Medium
Medium
Tanned
Olive
Dark
Live with:
--
Parents
Friends
Relations
By Yourself
Children
In:
--
Own Home
Renting
Boarding
Sharing
Other
Smoke:
--
Yes
No
Socially
Drink:
--
Yes
No
Socially
Disabilities:
YOUR PREFERENCES IN A PARTNER
Age From:
To
Nationality:
Don't Mind
Aboriginal
American
Australian
Canadian
Caucasian
Chinese
Croation
Czech
English
European
Filipino
French
German
Greek
Indian
Irish
Italian
Japanese
Korean
New Zealand
PNG
Polish
Polynesian
Russian
Scottish
Serb
Taiwanese
Turkish
Area:
Religion:
Preferred occupation:
Preferred status:
Single
Widowed
Divorced
Separated
Any
Smoke:
Don't Mind
Yes
No
Socially
Drink:
Don't Mind
Yes
No
Socially
Height:
Don't Mind
Short
Average
Tall
Children:
Don't Mind
None
1
2
3
4
5 or more
Body Structure :
Don't Mind
Slim
Slim/Average
Average
Big
Where did you first hear of True Love Corp for a complimentary
compatibility check with members in your area?
--
Newspaper
Magazine
Internet
Search Engine
Phone Directory
Which one: