Irbis Marriage Agency
Irbis Marriage Agency

Registration Form

●Business hours (Japan time)
Weekdays/10:00～20:00
Saturdays/10:00～13:00
Closed on Sundays and public holidays

This form is for women interested in international marriage with Japanese men.
Please fill in the information about yourself.

＊ indicates a required field.

1. Name＊ (not displayed on the web-site)
2. Tel＊ (not displayed on the web-site)
3. Messaging app＊ (not displayed on the web-site)

WhatsApp(XXX), Viber(XXX), etc.
4. E-mail＊ (not displayed on the web-site)
5. Date of Birth＊ (only year of birth is displayed on website)
Year /Month /Day
6. Nationality＊
7. Place of residence＊ (City, Country)

Kyoto (Japan), London (UK), New York (USA), etc.
8. Height＊
cm
9. Weight＊
kg
10. Educational background＊
11. Job＊
12. Foreign Languages & Proficiency level＊ (fluent, intermediate, beginner)

Japanese (fluent), English (intermediate), French (beginner), etc.
13. Marital status＊
  • Never been married
  • Divorced
  • Widow
14. Do you have children?＊
  • Yes
  • No
15. Children details (date of birth, gender)
16. Personal characteristics＊ (character, hobbies, etc.)
17. Partner preferences＊ (age, height, character, etc.)
18. Photos and identity verification document
Up to 2MB per file, you can send up to 6 photos and an identity verification document (such as a passport).
File format must be JPG, PNG, GIF, WebP, BMP, or PDF, and the file name should be in half-width alphanumeric characters.
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5．
6．

Before you sign up, please carefully read our terms and conditions and privacy policy.
If you agree, please check each box below.