Pious Partners

Registration Form

Registration is free - use the form below or call us on 07986-499111. Please note that all fields are mandatory unless explicitely marked as optional

Contact

Name

Telephone Number (optional)

If you are registering on behalf of someone, please state your relationship to them

Basic Information

Gender

Female

Male

Year of birth

Marital status

Nationality/Immigration status

Where do you live?

Other than English, what languages do you speak? [optional]

Appearance

Height

Build

Family, Education and Work

Education level

Occupation

Occupation of Father

Occupation of Mother

Ethnic Origin of Mother

Ethnic Origin of Father

Deen

Fiqh

Do you pray 5 times salaah?

Yes

How many salaah do you pray in the masjid?

Beard

Hijaab

Revert?

Yes

Please say a few words about yourself

Please describe the sort of person you are looking for

Where did you find out about us? [optional]

Please provide the name of the imam or mosque

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