Membership application form - for Asian ladies 女士申请表

 

 

It is Free to submit your application form. 请提交下面的申请表加入中诚免费会员。


Items with * are required items

Contact
information:

First Name 姓 * 
Last Name 名*  
Country of Residence 国家 *  
E-mail 邮箱地址 *  
Retype E-mail 重复 *  

Details:

Year of Birth 生日 *  
Marital Status 婚姻状态 *  
No. of Children 子女数 *  
Nationality 国籍 *  
Religion 信仰 *  
Height 身高(cm) *   Measurement Converter
Weight 体重(kg) *  
Do you smoke 吸烟否? *   Yes No

Work and Education:

Profession 职业 *  

Education 文化程度 *  

Primary (Native) Language母语 *  

Tell us about yourself, your interests and life (in less than 100 words)自我介绍 *

        

What are you looking for in your future husband? 对男士的要求  *

        

Password 密码 (Use this to update your profile. Minimum 6 characters 登录账户用,至少6个数或字母). *

Password密码 *  
Retype Password重复 *  

Personal Declaration

By submitting this form I declare that I am over 18 years old and making this application in good faith with the intention of finding a date. I understand that my personal data will not be be used by anyone other than AsianPromise without your permission, but that AsianPromise reserves the right to occasionally anonymously extract some of the information submitted in the form for publicity purposes. I will take appropriate precautions to protect my personal rights and privacy of all respondents. I will not hold AsianPromise responsible for any outcome as a direct or indirect consequence of submitting this application. 

I also accept this website's terms and conditions & privacy policy

 

Do you agree with this declaration? 同意上面的陈述吗?* (we regret that your application will not be accepted if you cannot agree 如果不同意,我们不能接受你的申请)

         Yes No

 

Please type in the characters shown below to prove you are human 请在下面框中输入:mde2 *

 mde2