Registration Form Names will not be shown or be visible to any potential matches without your consent. Your name will only be visible to the Naseeb team. First Name Last Name Phone Number (###) ### #### Gender Male Female Age Ethnicity Height ft cm Enter Height Current Location Are you Willing to Relocate? Yes No Maybe Legal Status British citizen Green Card Indefinite Leave Student Visa Work Visa Asylum Seeker Visitor Irish citizen Highest Level of Education GCSE A-LEVELS BSc MSc phD Dr. Trade/Skill Occupation I am a: Born Muslim Revert Build Slim/Fit Athletic/Toned Average Build Curvy Muscular Built/Sturdy Fuller Figure Stocky Voluptuous Plus Size Petite/Small Frame Broad/Big Frame Complexion Very Fair Skin Fair Skin Light Skin Olive Skin Golden Skin Tan Skin Medium Brown Skin Light Brown Skin Brown Skin Dark Brown Skin Deep Dark Skin Appearance Full Beard Short Beard Trimmed Beard Clean Shaven Niqab Hijab No Hijab Any Disabilities Yes No Describe Disability: I Evaluate my Islamic knowledge to be Poor Fair Good Very Good Excellent Advanced I Attend Islamic Programs/Lessons Weekly Monthly Occasionally Rarely Never I Attend Mosque for Prayer Very Frequently Frequently Occasionally Rarely Very Rarely Never Marital Status Single Divorced Widowed Married Separated Do you have any Children Yes No If yes how many and age of children? Preferences (for potential partners) Age preference Height preference Ethnicity preference Location preference Northern Ireland Ireland Mainland UK Any Education preference GCSE A-LEVEL Bachelor's Degree (BSc) Master's Degree (MSc) PhD Doctorate (Dr.) Diploma Trade Skill no preference Occupation preference Working Not working No preference Physical Appearance preference Slim/Fit Athletic/Toned Average Build Curvy Muscular Built/Sturdy Fuller Figure Stocky Voluptuous Plus Size Petite/Small Frame Broad/Big Frame No preference Appearance preference? Full beard Short beard Trimmed beard Clean Shaven Niqab Hijab No Hijab No preference Complexion preference? Very Fair Skin Fair Skin Light Skin Olive Skin Golden Skin Tan Skin Medium Brown Skin Light Brown Skin Brown Skin Dark Brown Skin Deep Dark Skin No preference Preference in Legal Status British citizen Green card Indefinite Leave Student Visa Work Visa Asylum Seeker Visitor Irish citizen No preference Would you consider a revert Yes No Would you consider a divorcee? Yes No Would you consider a partner who is widowed? Yes No Living Arrangement Preference after Marriage In own home with spouse only With spouse's family Shared housing/accommodation With extended family No preference Would you consider a significant other with children? Yes No Would you consider a divorcee Yes No Would you consider a partner who is widowed Yes No Would you consider a man who is married (sister only) Yes No Would you consider relocating Yes No Maybe Islamic knowledge preference Poor Fair Good Very Good Excellent Advanced No preference I want a partner who attends Islamic programs/lessons: Weekly Monthly Occasionally Rarely Never No preference I want a partner who attends Mosque for prayer Very Frequently Frequently Occasionally Rarely Very rarely Never No preference Preference in religious practices in terms of 5 daily Prayer Always Hoping to improve Not yet practicing Occasionally Regularly Rarely No preference Do you consent for picture to be seen by your match Yes No Reference 1 Provide contact details for a reference, these can include anyone who has lived with you, traveled with you, has engaged in business with you or worked with you. Phone Number (###) ### #### Name of Reference Relationship to Reference Reference 2 Phone Number (###) ### #### Name of Reference Relationship to Reference Payment * To process your application, please transfer £10 to the following account. Once you’ve made the payment, kindly select "paid" below. Add your name as a reference. If you have any concerns or questions, don’t hesitate to reach out, we're here to help! Sort code: 111002 Account number: 15516569 Account name: Narmin Abdulkader Paid Not paid Declaration and Pledge: * To be completed by the candidate: I hereby certify that the information given in this form is true, correct and complete in every respect. If there is any change in the previous information I will inform Naseeb promptly. I authorize Naseeb to utilize the information provided by me according to the needs of the service. I pledge to keep all the information given to me by Naseeb as confidential and to use it with extreme care. I promise to inform Naseeb as soon as marriage takes place. In the event of failure to arrange such marriage of subsequent thereto, I shall not hold Naseeb and any participation masjid responsible thereof. I pray to Allah to help me redeem my pledge. Ameen. I agree with the above declaration Thank you! Your form has been successfully submitted. May Allah ease your journey and bless you with a righteous spouse. Please continue to make your Duas. We will reach out to you as soon as we find a match. If you have any questions, feel free to contact us.
