Muslim Soulmate Australia
What is your full name:
What is your Gender: MaleFemale
Date of birth (Minimum age: 18)
What is your phone Number:
What is your email address:
State of Residence: New South WalesACTVictoriaQueenslandWestern AustraliaSouth AustraliaTasmania
City of Residence: ArmidaleAuburnBallinaBallaratBendigoBlacktownBlue MountainsBunburyBurnieByron BayCairnsCanberraCoffs HarbourDarwinDevonportDubboEsperanceGeelongGeraldtonGoulburnGosfordGriffithHalls CreekHobartHorshamKalgoorlieKalgoorlie-BoulderKarrathaKiamaKununurraLauncestonLismoreMackayMelbourneMilduraMaitlandManlyMaryboroughMoreeMudgeeMount GambierNewcastleNelson BayOrangeParramattaPenrithPerthPort HedlandPort LincolnPort MacquarieQueanbeyanRockhamptonSaleSheppartonSwan HillSydneyTamworthTweed HeadsToowoombaTraralgonWagga WaggaWarrnamboolWodongaWhyallaWollongongBairnsdaleBathurstBusseltonCoolgardieEchucaGold CoastMorwellWarragulAlbany
What is your nationality:
What is your ethnicity:
What is your occupation:
Level of Practicing Islam: Not PractisingModeratePractisingVery Practising
Sister’s Description Yes, I wear hijabYes, I wear niqabNo, I don’t wear it but open to itNo preference
Brother’s Description Yes, I keep a beardNo, I don’t keep a beard but open to itNo preference
Dietary Preferences: HalalVegetarianNo strict preference
Do you prefer a partner with the same ethnic background? YesNo PreferenceOpen to any Nationality
What is your marital status: Single (Never Married)SeparatedDivorcedWidowed
Do you have children: YesNo
Are you open to marrying someone with children? YesNo
Would you like your wali/guardian to be involved in the process? YesNo
Preferred Age Range: 18 – 75
Spouse’s Preferred Level of Practicing Islam: Not PractisingModeratePractisingVery Practicing
How Did You Hear About Us? WebsiteSocial MediaFriendOther
Islamic Sect: —Please choose an option—SunniShiaSufiOther
Have you attended an event organised by Muslim Soulmate Australia before? YesNo
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I confirm that all the information I have provided in this form is true, accurate, and complete to the best of my knowledge.
