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The Basics

HIDDEN - Membership Type *

HIDDEN - This is optional but will help with the search. Have you ever been married before? *

Do your children live at home? *

How many children do you have? *

Do you want children/more children? *

HIDDEN - Do you agree to answer all questions below as honestly as possible? *

HIDDEN - By submitting this form you agree to the terms and conditions *

HIDDEN - Can you confirm that you've paid the membership fee? *

HIDDEN - If no, please ensure to make payment first *

First Name *

Middle Initial

Last Name *

Email *

Phone *

Can we share your mobile number with your match? (If no, they will get email instead)

Location

How did you hear about us?

If friend, family or other, please tell us who referred you

Are you a member of the ConnectAsian Singles Facebook Group? https://www.facebook.com/groups/connect *

Social Media Profile URL

Add an active profile e.g. Facebook / Linkedin

Gender *

Birthdate *

Required for age-based matching

Relationship Status *

Where are you based? Be as specific as possible. Tell us firstly the Town you live in? E.g Wembley *

Tell us your cultural heritage. E.g. Punjabi, Gujarati *

Tell us your religion? *

Do you have children? *

Tell us your profession? E.g. I.T. Coaching, Medical, Accountancy *

Tell us your height? (As honestly as possible) *

Tell us your three favourite pastimes. E.g. Travelling, cooking, pottery. Be as honest as possible. *

Do you smoke?

Do you drink?

Tell us your about your dietary choices *

Please upload a recent photo *

JPG, JPEG, PNG/ 10 MB max

Match Preferences

Which gender partner are you looking for? *

Preferred Age Range *

Preferred Relationship Status

Tell us the cultural heritage of the person you wish to connect with

Tell us the faith / background preference of the person you wish to connect with

Tell us your preferred height of the person you wish to connect with?

This is optional but will help with the search. Are you ok with meeting people who have children?

Tell us the locale of the person you wish to connect with

Would you date someone who smokes?

Would you date someone who drinks?

Describe your ideal partner

My deal breakers

Terms & Conditions

I accept the Terms and Conditions

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By submitting this form you agree to the terms and conditions