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Place of Birth
*
US Status
*
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GC
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Other
Since When have you been in USA?
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
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16
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48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
Language(s) Spoken
*
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selection/deselection)
Afrikaans
Akan
Albanian
American Sign Language
Amharic
Arabic
Armenian
Ashante
Assyrian
Azerbaijani
Azeri
Bahasa
Bajuni
Bambara
Basque
Behdini
Belorussian
Bengali
Berber
Bosnian
Bravanese
Bulgarian
Burmese
Cantonese
Catalan
Chaldean
Chaochow
Cherokee
Chin
Chuukese
Cree
Croatian
Czech
Dakota
Danish
Dari
Dinka
Diula
Dutch
Estonian
Ewe
Farsi (Persian)
Fijian Hindi
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French
French Canadian
Fukienese
Fula
Fulani
Fuzhou
Ga
Gaddang
Gaelic
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German
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Greek
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Haitian Creole
Hakka
Hakka - China
Hausa
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Hmong
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Hungarian
Ibanag
Ibo
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Igbo
Ilocano
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Italian
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Japanese
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Kanjobal
Karen
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Kazakh
Khmer (Cambodian)
Kikuyu
Kinyarwanda
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Korean
Kosovan
Krahn
Krio
Kurdish
Kurmanji
Lakota
Laotian
Latvian
Lingala
Lithuanian
Luganda
Lusoga
Luxembourgeois
Maay
Macedonian
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Malay
Malayalam
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Maninka
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Marshallese
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Mina
Mirpuri
Mixteco
Moldavan
Mongolian
Montenegrin
Moroccan Arabic
Navajo
Neapolitan
Nepali
Nigerian Pidgin English
Norwegian
Nuer
Oromo
Pahari
Pampangan
Pamgasinan
Pashto
Patois
Pidgin English
Polish
Portuguese
Portuguese Creole
Pothwari
Punjabi
Romanian
Russian
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Shona
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Slovak
Somali
Soninke
Sorani
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Sudanese
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Sylhetti
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Tshiluba
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Wolof
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Yupik
English
Other
Education
*
High School
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Assoc. Degree
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Masters Degree
PH.D
MD
Other
Occupation
Annual Income
$
Nature of Job
--Select Nature of Job--
Full Time
Consultant
Home Maker
Part Time
Unemployed and Searching for a Job
Unemployed and collecting Welfare
Currently in School
Other
--Select Nature of Job--
Full Time
Consultant
Part Time
Unemployed and Searching for a Job
Unemployed and collecting Welfare
Currently in School
Other
Marital Status
*
Single
Divorced
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How many children do you have?
*
--Select--
0
1
2
3
4
5
6 or More
Child(s) Details
Sl No:
Age:
Sex:
Live with you:
1
---
1
2
3
4
5
6
7
8
9
10
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23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
---
Male
Female
---
Yes
No
Sometimes
2
---
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
--
Male
Female
---
Yes
No
Sometimes
3
---
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
---
Male
Female
---
Yes
No
Sometimes
4
---
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
---
Male
Female
---
Yes
No
Sometimes
5
---
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
---
Male
Female
---
Yes
No
Sometimes
6
---
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
---
Male
Female
---
Yes
No
Sometimes
Other Child's Details:
What is your Islamic Practice Level
(pray)
Daily in mosque
5x
Sometimes
Jumaa only
Eid only
Do not pray
I am not a Muslim
Hijab (for females)
*
Select One
Hijab
Non Hijab
Body Type
*
Slim
Fit
Average
Few extra pounds
Large
Height
*
feet
2
3
4
5
6
7
8
9
10
feet
inch
1
2
3
4
5
6
7
8
9
10
11
inch
Skin Color
*
Very Fair
Fair
Wheatish
Wheatish Medium
Wheatish Brown
Dark
You in few words
(A brief summary about the applicant,
i.e. interests, hobbies, etc)
*
Required Field
3. Your Match
*
Only fill if it matters, that works more like a filter.
Age range
--Select--
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
To
--Select--
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
Nationality
Press 'Ctrl' for multiple
selection/deselection)
Any
Aland Islands
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Cote D'ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island And Mcdonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle Of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Reunion
Saint Barthelemy
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Martin
Saint Pierre And Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province Of China
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.s.
Wallis And Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
American
Other
Ethnicity
(Press 'Ctrl' for multiple
selection/deselection)
Any
East Asia
Other
Turkish
South Asia
Arab
Hispanic
Caucasian European
African American
Religion
(Press 'Ctrl' for multiple
selection/deselection)
Any
Muslim
Christian
Jew
New Muslim
Considering Islam
State
(Press 'Ctrl' for multiple
selection/deselection)
Any State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
US Status (if any)
US Citizen
H1 Visa
Student Visa
GC
Business Visa
GC (In Progress)
Other
How long your spouse should be in US?
years
Education (if any)
High School
Some College
Technical-Trade School
Assoc. Degree
Bachelors Degree
Masters Degree
PH.D
MD
Other
Occupation
Annual Income
From: $
To:$
Nature of Job
(Press 'Ctrl' for multiple
selection/deselection)
Any
Full Time
Consultant
Home Maker
Part Time
Unemployed and Searching for a Job
Unemployed and collecting Welfare
Currently in School
Other
Any
Full Time
Consultant
Home Maker
Part Time
Unemployed and Searching for a Job
Unemployed and collecting Welfare
Currently in School
Other
Language(s) Spoken:
Must:
None
Afrikaans
Akan
Albanian
American Sign Language
Amharic
Arabic
Armenian
Ashante
Assyrian
Azerbaijani
Azeri
Bahasa
Bajuni
Bambara
Basque
Behdini
Belorussian
Bengali
Berber
Bosnian
Bravanese
Bulgarian
Burmese
Cantonese
Catalan
Chaldean
Chaochow
Cherokee
Chin
Chuukese
Cree
Croatian
Czech
Dakota
Danish
Dari
Dinka
Diula
Dutch
Estonian
Ewe
Farsi (Persian)
Fijian Hindi
Finnish
Flemish
French
French Canadian
Fukienese
Fula
Fulani
Fuzhou
Ga
Gaddang
Gaelic
Georgian
German
Gorani
Greek
Gujarati
Haitian Creole
Hakka
Hakka - China
Hausa
Hebrew
Hindi
Hmong
Hunanese
Hungarian
Ibanag
Ibo
Icelandic
Igbo
Ilocano
Indonesian
Italian
Jakartanese
Japanese
Javanese
Kanjobal
Karen
Kashmiri
Kazakh
Khmer (Cambodian)
Kikuyu
Kinyarwanda
Kirghiz
Kirundi
Korean
Kosovan
Krahn
Krio
Kurdish
Kurmanji
Lakota
Laotian
Latvian
Lingala
Lithuanian
Luganda
Lusoga
Luxembourgeois
Maay
Macedonian
Malagasy
Malay
Malayalam
Maltese
Mandarin
Mandingo
Mandinka
Maninka
Marathi
Marshallese
Mien
Mina
Mirpuri
Mixteco
Moldavan
Mongolian
Montenegrin
Moroccan Arabic
Navajo
Neapolitan
Nepali
Nigerian Pidgin English
Norwegian
Nuer
Oromo
Pahari
Pampangan
Pamgasinan
Pashto
Patois
Pidgin English
Polish
Portuguese
Portuguese Creole
Pothwari
Punjabi
Romanian
Russian
Samoan
Serbian
Shanghainese
Shona
Sicilian
Sinhalese
Sindhi
Slovak
Somali
Soninke
Sorani
Spanish
Sudanese Arabic
Sudanese
Swahili
Swedish
Sylhetti
Tagalog
Taiwanese
Tajik
Tamil
Telugu
Thai
Tibetan
Tigrinya
Toishanese
Tongan
Tshiluba
Turkish
Twi
Ukrainian
Urdu
Uzbek
Vietnamese
Visayan
Welsh
Wolof
Yiddish
Yoruba
Yupik
English
Other
Desirable:
(Press 'Ctrl' for multiple
selection/deselection)
None
Afrikaans
Akan
Albanian
American Sign Language
Amharic
Arabic
Armenian
Ashante
Assyrian
Azerbaijani
Azeri
Bahasa
Bajuni
Bambara
Basque
Behdini
Belorussian
Bengali
Berber
Bosnian
Bravanese
Bulgarian
Burmese
Cantonese
Catalan
Chaldean
Chaochow
Cherokee
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Height
feet
2
3
4
5
6
7
8
9
10
feet
inch
1
2
3
4
5
6
7
8
9
10
11
inch To
feet
2
3
4
5
6
7
8
9
10
feet
inch
1
2
3
4
5
6
7
8
9
10
11
inch
Skin Color
Very Fair
Fair
Wheatish
Wheatish Medium
Wheatish Brown
Dark
Minimum Islamic Practice Level desired
(Pray):
Daily in mosque
5x
5x
Sometimes
Jumaa only
Eid only
Do not pray
I am not a Muslim
Hijab Preference
Hijab
No Preferences
Non Hijab
If match has kids
Other requirements
(Note: the more requirements, the more narrow your choices)
*
Required Field
4. Do you want to give a permission to anyone
to speak on your behalf with MVMteam and/or your matches
*
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No
The permission is given to
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Parents
Guardian
Close Friend
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First Name
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Last Name
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Nick Name (optional)
Address
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State
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AA
AE
AK
AL
AP
AR
AS
AZ
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CT
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DE
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FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
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ME
MH
MI
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MO
MP
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OK
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VI
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Home
Cell
Work
Phone #2
(
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Home
Cell
Work
Phone #3
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)
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Email #1
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(Please provide three references (age 18+) that we may contact about you)
1. Name
' Phone no.
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2. Name
' Phone no.
(
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3. Name
' Phone no.
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)
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7. How did you hear about us
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--Select--
Internet
Friends
Relatives
MVM Team
Facebook
Islamic Center
Internet Search (Google, Yahoo ..etc)
IAU (Islamic American University)
IslamiCity.com
WhyIslam
MCMC
Other
ISB
HalfOurDeen
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*
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agreement, and that you agreed and accepted all parts of agreement.
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