SABAIslamic Center Matrimonial Form
All information provided will be held in the strictest confidence
Please complete this section about yourself:Full Name: Gender:
Full Address:
Email: Cell #: Home Phone:
Birth year: Country of Birth:Age:
Nationality:Visa Status: Ethnicity:
(please state if not US national)
What is your height? ______
Father’s Name: email: phone:
Mother’s Name: email:
Please estimate when you are hoping to get married:
(e.g. 2008-2009; Summer ’08; ASAP; etc.)
What level of education have you completed? (please tick the box(es) that apply)
High School Associate Degree Years of College (if not graduated): ____
Bachelors Masters PhD Major:
M.D. Other: (please state)
If you have studied, or are studying at university:
Which degree did you study for/are studying?
When will you/when did you graduate?
What is your current occupation?
How often do you pray/fasting? Rarely Sometimes Always
How important is religion in your life? (on a scale of 1-5, 1=not important, 5= very important)
If you are a woman, do you wear Hijab? Please circle: Yes No Sometimes
Any other relevant details?
(e.g. illness, disability, previous relationship)
Please complete this section about your ideal partner
What age range are you looking for? to
What level of education would you want your ideal partner to have completed?
Preferred Match ethnicity:: 1st choice: 2nd choice No preference:
If you’re a man, would you want your partner to wear Hijab? Yes No Doesn’t matter
What height range are you looking for? ___’ ____” to ___’ ____” or doesn’t matter
Other requirements if any:
RELIGIOUS BACKGROUND:
Are you Ithna Ashari Shia Muslim? □Yes □No If not an Ithna Ashari, please specify what sect
______
Name of your nearby Imam Bargah/Islamic Center/Jamat? ______
Are you a regular attendee of Islamic Center? □ Yes □ No
If “yes” approximate percentage of □ Majalis __ □ Youth Programs __
□ Other Activities
QUALITIES & QUALIFICATION OF SPOUSE:
□ Absolutely Required ______
□ YourExpectationDesired. ______
Yours SPOUSE SELECTION RESTRICTIONS: □ Syed / non-syed □Age gap
□ US born □ US educated □ Restrictive Physical features □Specific Profession □Visa Status □ Other (specify)______
Additional Questions:
Please describe yourself:□ reserved □ outgoing □ quiet □ talkative
Would you willing to participate in group activities: □ Yes □No
SABA’s PRIVACY POLICY:SABA will maintain the candidates’ and their parents’ and family members identity information {names, contact information (phone, email address etc)} confidential. Only selected generic information will be sent to other candidates in an effort to find a suitable match. The above stated identity information will only be disclosed after the verbal/written consent of party. .SABA’s primary matchmaking function ceases at introduction of prospective matches. It is the sole responsibility of prospective matches to verify each others’ and family’ information. SABA does not do any background check of the match and his/her family.DISCLAIMER STATEMENT: SABAtakes no responsibility for the actions of the persons utilizing its services and does not offer any guarantees of any kind. The users of SABA’s service hereby indemnify and agree to hold SABA and its members and associates harmless from any and all claims of damages whatsoever resulting from the provision of this service.
I, ------aware of the fact that Allah (SWT) is watching my intention and action, solemnly declare that all the information provided in this form are true. I also declare that I have read and understood the above form including SABA’s Privacy Policy and Disclaimer Statement and agree with them in their entirety.