Application form

About myself

Name and surname:*

Sex:*
Male
Female

Date of birth:*

Height/weight:*

Citizenship:*

Place of residence:*

Nationality:

Languages spoken:

Family status:*

Children:

Health status:

Education:

(secondary, secondary special, incomplete higher, higher)

Рrofession and work at the present moment (position):

Attitude to a religion:*

My merits:

My weaknesses:

Contact details (e-mail and phone):*

(information will not be displayed on the web-site, it is for Takbir.ru employees’ use only)

Upload own photo (2 or more)

*maximum: 5

I want to find

Age:*

Nationality:*

Appearance:*

Other requests:

(please, specify the most important character traits knowledge, skills, beliefs etc. meaningful to you, which you would like to see in a bride)

Unacceptable:

(please, specify the character traits of a person, her habits, etc., which are absolutely not allowed for you)

Meeting purpose:*

Your understanding of male and female roles in the family:

How did you hear about Takbir.ru?:

I hereby confirm accuracy of information.

Application form Takbir.ru »