Registration Form

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    Personal Details

    Address Details

    Contact Details

    Additional information

    Additional information - Children

    Your physical appearance

    Education & Occupation

    Hobbies / Interests / Sport

    You & God

    General Information

    About You & Your Ideal Match

    AnyBlack AfricanColoured / AsianCaribbeanCaucasian / WhiteHispanic / LatinoIndianMiddle EasternNative AmericanPacific Islands

    Anywhere in EnglandAnywhere in ScotlandAnywhere in Northern IrelandCentral and East EnglandNortheast EnglandNorthwest EnglandSoutheast EnglandSouthwest EnglandNorth WalesSouth WalesNorth ScotlandSouth ScotlandEast Scotland

    Anywhere in South AfricaEastern CapeFree StateGautengKwa-Zulu NatalLimpopoMpumalangaNorthern CapeNorthwestWestern Cape

    Final questions

    At the officeAt homeInternet CafeSomeone else's pc/laptopMobile phone / TabletOther

    Please note:

    All fields in this form are required. We will not be able to compile your profile or supply you accurate matches without all information provided in full.

    • Fields marked with will appear on your profile.
    • All other fields unmarked with are for Administration/Record purposes ONLY and will NOT be included in your profile or for publication.
    • PLEASE NOTE: Member’s details are never posted on our website or any other publication/Social Media platform. Profiles (during selection process) are ONLY emailed to SELECTIVE members and NOT to all and sundry.
    • Any questions regarding the completion of Form, please use the form on the contact page to contact us.