Registration Form
●Business hours
Weekdays/10:00～20:00
Saturdays/10:00～13:00
Closed on Sundays and public holidays
Please fill in the information about yourself.
＊
indicates a required field.
1. Name
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(not displayed on the web-site)
2. Tel
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(not displayed on the web-site)
3. Messaging app
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(not displayed on the web-site)
WhatsApp(XXX), Viber(XXX), etc.
4. E-mail
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(not displayed on the web-site)
5. Date of Birth
＊
(only year of birth is displayed on website)
Year
/Month
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2
3
4
5
6
7
8
9
10
11
12
/Day
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5
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31
6. Nationality
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7. Place of residence
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8. Height
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cm
9. Weight
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kg
10. Educational background
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11. Job
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12. Foreign Languages & Proficiency level
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(fluent, intermediate, beginner)
13. Marital status
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Never been married
Divorced
Widow
14. Do you have children?
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Yes
No
15. Children details
(date of birth, gender)
16. Personal characteristics
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(character, hobbies, etc.)
17. Partner preferences
＊
(age, height, character, etc.)
18. Photos and a copy of passport
Up to 2MB per file, you can send up to 6 photos and a copy of passport.
File format must be JPG or PNG, and the file name should be in half-width alphanumeric characters.
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Before you sign up, please carefully read our
terms and conditions
and
privacy policy
.
If you agree with it, please check the box below.
Agree with the terms and conditions and privacy policy
