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Anketa For Ladies

Fill in our anketa and after approval your profile will be added to our catalogue.

APPLICATION FORM

Name
Surname
Postal address (in English):
Phone code:
Phone home:
Phone contact (if you don't have a home number):
E-mail:

Date of birth:
Age: years
Height: cm
Weight: kg
Hair color: blonde brown black grey red
Eye color: blue brown green grey
Marital status: single divorced widow
Children: yes no
If yes, how many and what age:
Religion:
Education:
Occupation/job:

Foreign languages
Level: 5=fluent, 4=good, 3=fair, 2=basic, 1=none
English: 5 4 3 2 1
German: 5 4 3 2 1
French: 5 4 3 2 1
Italian: 5 4 3 2 1
Other:

Do you smoke? No Sometimes Yes
Do you drink? No Sometimes Yes

My personality:

Hobbies/interests:


About my partner:


IMPORTANT:
Send your photos (minimum two) to: info@russianladiesagency.com
Don't forget to write your name!


By sending this application form I'll state that the given data are true, that I want to find a foreign partner for a serious relationship and that I won't abuse the services of Russian Ladies Agency for unlawful activities. I allow Russian Ladies Agency to sell my contact information to clients of the agency. 



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