Mandatory fields are marked by an asterisk ( * )


CONTACT DETAILS

* Surname:


Click the 'Browse' button to
enter the location of a photo image.
* Firstname:
* Street:
* Suburb:
* State:
* Postcode:
* Country:
* Phone:
Email:

SEXUALITY

* SEXUALITY SELF:
Male Female      

* SEXUALITY CHOICE:
Both Male Female   

AGE

AGE SELF:

AGE CHOICE:
About the same age as myself 3 years older to 7 years younger
3 years younger to 13 years younger 7 years younger to 20 years younger
3 years younger to 7 years older 3 years older to 13 years older
7 years older to 20 years older Same age to 15 years older
Same age to 15 years younger

ACCOMMODATION

ACCOMODATION SELF:
Own or buying unit or home Renting flat, unit or house
Boarding away from home or with parents Sharing with others
Would provide accommodation Would provide accommodation for children also
Accommodation not important

DEPENDENT CHILDREN

Please indicate whether you have any children, and if relevant, the age and sex of each child.
NOTE: Enter the age and sex of your children as AGE/SEX, AGE/SEX, etc.

DEPENDENT CHILDREN SELF:
I have dependent childrenYesNo

Age and sex of children: 
No. of children not living with you: 

MARITAL STATUS

MARITAL STATUS SELF:
Single Widowed Divorced Separated

MARITAL STATUS FIRST CHOICE:
Single Widowed Divorced Separated
No preference

MARITAL STATUS SECOND CHOICE:
Single Widowed Divorced Separated
No preference

RELIGION

RELIGION SELF:
Catholic Church of England Presbyterian Methodist
Anglican Jewish Agnostic or Atheist Protestant
Other religion No preference

RELIGION FIRST CHOICE:
Catholic Church of England Presbyterian Methodist
Anglican Jewish Agnostic or Atheist Protestant
Other religion No preference

RELIGION SECOND CHOICE:
Catholic Church of England Presbyterian Methodist
Anglican Jewish Agnostic or Atheist Protestant
Other religion No preference

NATIONALITY

NATIONALITY SELF:
African Albanian Argentinian Austrian
Australian Belgian Brazilian Bulgarian
Canadian Chinese Colombian Czechoslovakian
Dane Dutch Egyptian English
Finn French German Greek
Hungarian Indian Indonesian Irish
Israeli Italian Japanese Korean
Malaysian Maltese Mexican New Zealander
Norwegian Pakistani Philipino Pole
Romanian Russian Scottish Singaporean
South African Spaniard Swede Swiss
Taiwanese Thai Turk USA
Vietnamese Yugoslav

NATIONALITY FIRST CHOICE:
African Albanian Argentinian Austrian
Australian Belgian Brazilian Bulgarian
Canadian Chinese Colombian Czechoslovakian
Dane Dutch Egyptian English
Finn French German Greek
Hungarian Indian Indonesian Irish
Israeli Italian Japanese Korean
Malaysian Maltese Mexican New Zealander
Norwegian Pakistani Philipino Pole
Romanian Russian Scottish Singaporean
South African Spaniard Swede Swiss
Taiwanese Thai Turk USA
Vietnamese Yugoslav No preference

NATIONALITY SECOND CHOICE:
African Albanian Argentinian Austrian
Australian Belgian Brazilian Bulgarian
Canadian Chinese Colombian Czechoslovakian
Dane Dutch Egyptian English
Finn French German Greek
Hungarian Indian Indonesian Irish
Israeli Italian Japanese Korean
Malaysian Maltese Mexican New Zealander
Norwegian Pakistani Philipino Pole
Romanian Russian Scottish Singaporean
South African Spaniard Swede Swiss
Taiwanese Thai Turk USA
Vietnamese Yugoslav No preference

ETHNIC BACKGROUND

Please click on the appropriate options below to indicate your ETHNIC preferences.
NOTE: See attitudes section if you are definite about your choices.

ETHNIC BACKGROUND SELF:
Aboriginal African Asian Caucasian
European Hispanic Indian Mauri

ETHNIC BACKGROUND FIRST CHOICE:
Aboriginal African Asian Caucasian
European Hispanic Indian Mauri
No preference

ETHNIC BACKGROUND SECOND CHOICE:
Aboriginal African Asian Caucasian
European Hispanic Indian Mauri
No preference

SPOKEN LANGUAGES

SPOKEN LANGUAGES SELF:
Arabic Cantonese Chinese English
French German Greek Indonesian
Italian Japanese Korean Mandarin
Portugese Russian Spanish Thai
Turkish Vietnamese Other language

SPOKEN LANGUAGES CHOICE:
Arabic Cantonese Chinese English
French German Greek Indonesian
Italian Japanese Korean Mandarin
Portugese Russian Spanish Thai
Turkish Vietnamese Other language No preference

HEIGHT

HEIGHT SELF:
Under 5' 0" or 147 cm About 5' 0" or 152 cm
About 5' 2" or 157 cm About 5' 4" or 163 cm
About 5' 6" or 168 cm About 5' 8" or 173 cm
About 5' 10" or 178 cm About 6' 0" or 183 cm
About 6' 2" or 188 cm

HEIGHT PREFERRED:
Up to 5' 0" or 147 cm 5' 0" to 5' 4" or 163 cm
5' 2" to 5' 6" or 168 cm 5' 4" to 5' 8" or 173 cm
5' 6" to 5' 10" or 178 cm 5' 8" to 6' 0" or 183 cm
5' 10" to 6' 2" or 188 cm

BUILD

BUILD SELF:
Slim Average Cuddly Heavy

BUILD FIRST CHOICE:
Slim Average Cuddly Heavy
No preference

BUILD SECOND CHOICE:
Slim Average Cuddly Heavy
No preference

POLITICS

POLITICS SELF:
Labour Centre Liberal Socialist
Democrat Republican Communist Tory
No preference

POLITICS CHOICE:
Labour Centre Liberal Socialist
Democrat Republican Communist Tory
No preference

EDUCATION

EDUCATION SELF:
Did not finish high school Finished 2nd or 3rd year
Student Finished technical training
Finished high school certificate Studying degree
Completed 1 or more degrees Doctorate

EDUCATION FIRST CHOICE:
Did not finish high school Finished 2nd or 3rd year
Student Finished technical training
Finished high school certificate Studying degree
Completed 1 or more degrees Doctorate
No preference

EDUCATION ACCEPTABLE CHOICES:
Did not finish high school Finished 2nd or 3rd year
Student Finished technical training
Finished high school certificate Studying degree
Completed 1 or more degrees Doctorate
No preference

SMOKING

SMOKING SELF:
Non-smoker Social smoker Smoker   

SMOKING CHOICE:
Non-smoker Social smoker Smoker No preference

DRINKING

DRINKING SELF:
Non-drinker Social drinker Drinker   

DRINKING CHOICE:
Non-drinker Social drinker Drinker No preference

OCCUPATION

Please show whether you are currently employed, pensioned, retired, or studying.
NOTE: If employed or studying, state the type of employment or study.

OCCUPATION SELF:
Full-time employed Part-time employed Self-employed Unemployed
Retired Pensioned Student

Type of employment: 
Type of studies: 

You can choose to be matched with people in different groups of careers and also different levels. Click on any of the titles below for a list of sample occupations.
NOTE: Only make TWO or THREE selections as choices (Explanation of careers).

OCCUPATION CHOICE:
1. Artistic tertiary 2. Artistic advanced 3. Artistic secondary 4. Artistic minimum 5. Artistic any
6. Clerical tertiary 7. Clerical advanced 8. Clerical secondary 9. Clerical minimum 10. Clerical any
11. Community tertiary 12. Community advanced 13. Community secondary 14. Community minimum 15. Community any
16. Computational tertiary 17. Computational advanced 18. Computational secondary 19. Computational minimum 20. Computational any
21. Engineering tertiary 22. Engineering advanced 23. Engineering secondary 24. Engineering minimum 25. Engineering any
26. Literary tertiary 27. Literary advanced 28. Literary secondary 29. Literary minimum 30. Literary any
31. Labouring tertiary 32. Labouring advanced 33. Labouring secondary 34. Labouring minimum 35. Labouring any
36. Medical tertiary 37. Medical advanced 38. Medical secondary 39. Medical minimum 40. Medical any
41. Outdoor tertiary 42. Outdoor advanced 43. Outdoor secondary 44. Outdoor minimum 45. Outdoor any
46. Personal tertiary 47. Personal advanced 48. Personal secondary 49. Personal minimum 50. Personal any
51. Scientific tertiary 52. Scientific advanced 53. Scientific secondary 54. Scientific minimum 55. Scientific any
56. Any tertiary 57. Any advanced 58. Any secondary 59. Any minimum 60. Any any

INTERESTS

INTERESTS SELF:
Outdoor activities Golf Football Cricket
Swimming Tennis/Squash Athletics Horse riding
Theatre Music Old Time dancing Watching sports
Movies/TV Disco dancing Fashion Gardening
Travel Reading Debating Yoga & meditation
Community service work Singing & Entertaining Board games/Chess BBQ parties
Cards Cooking Horse & dog racing Pottery & handicrafts
Hobbies general Boating/Sailing Stamp collecting Winter sports/Skiing
Decorating/
Renovating
Antique arts Pen friends Spiritualism
Astrology Religious activities Lotto gambling Animals
Conservation Baseball Business activities Army/Navy/Air Force
Government Politics Rural farming Rock Music Varied interests

INTERESTS CHOICES:
Outdoor activities Golf Football Cricket
Swimming Tennis/Squash Athletics Horse riding
Theatre Music Old Time dancing Watching sports
Movies/TV Disco dancing Fashion Gardening
Travel Reading Debating Yoga & meditation
Community service work Singing & Entertaining Board games/Chess BBQ parties
Cards Cooking Horse & dog racing Pottery & handicrafts
Hobbies general Boating/Sailing Stamp collecting Winter sports/Skiing
Decorating/
Renovating
Antique arts Pen friends Spiritualism
Astrology Religious activities Lotto gambling Animals
Conservation Baseball Business activities Army/Navy/Air Force
Government Politics Rural farming Rock Music Varied interests
No preference

I HAVE NO INTEREST IN THE FOLLOWING CHOICES:
Outdoor activities Golf Football Cricket
Swimming Tennis/Squash Athletics Horse riding
Theatre Music Old Time dancing Watching sports
Movies/TV Disco dancing Fashion Gardening
Travel Reading Debating Yoga & meditation
Community service work Singing & Entertaining Board games/Chess BBQ parties
Cards Cooking Horse & dog racing Pottery & handicrafts
Hobbies general Boating/Sailing Stamp collecting Winter sports/Skiing
Decorating/
Renovating
Antique arts Pen friends Spiritualism
Astrology Religious activities Lotto gambling Animals
Conservation Baseball Business activities Army/Navy/Air Force
Government Politics Rural farming Rock Music Varied interests

STAR SIGNS

STAR SIGN SELF:
Aquarius (Jan 20 - Feb 20) Pisces (Feb 21 - Mar 20)
Aries (Mar 21 - Apr 20) Taurus (Apr 21 - May 20)
Gemini (May 21 - Jun 21) Cancer (Jun 22 - Jul 23)
Leo (Jul 23 - Aug 22) Virgo (Aug 23 - Sept 23)
Libra (Sep 24 - Oct 23) Scorpio (Oct 24 - Nov 22)
Sagittarus (Nov 23 - Dec 20) Capricorn (Dec 21 - Jan 19)

STAR SIGN PREFERENCES:
Aquarius (Jan 20 - Feb 20) Pisces (Feb 21 - Mar 20)
Aries (Mar 21 - Apr 20) Taurus (Apr 21 - May 20)
Gemini (May 21 - Jun 21) Cancer (Jun 22 - Jul 23)
Leo (Jul 23 - Aug 22) Virgo (Aug 23 - Sept 23)
Libra (Sep 24 - Oct 23) Scorpio (Oct 24 - Nov 22)
Sagittarus (Nov 23 - Dec 20) Capricorn (Dec 21 - Jan 19)
No preference

ATTITUDES - SECTION 1

Consider your ANSWER to the following questions CAREFULLY. If your views are DEFINITE and you answer NO to the first four questions, the computer will DEFINITELY "NOT" select any of these people. This will narrow your range of selection considerably.

I would accept a partner with dependent childrenYesNo
I would accept a partner with a different religionYesNo
I would accept a partner with a different nationalityYesNo
I would accept a partner with a different ethic cultureYesNo
A physical relationship is important to meYesNo
I would prefer an outdoor type of personYesNo
I would marry if I met the right personYesNo

ATTITUDES - SECTION 2

Answer YES or NO to the following questions.

My partner can have their own credit cardYesNo
I believe sexual infidelity destroys relationshipsYesNo
I would like to live on a farm in a rural areaYesNo
I believe sex education should be taught in schoolYesNo
I like to keep animals as petsYesNo
I believe that the stars and astrology influence our livesYesNo
I am sympathetic to the green movementYesNo
I believe in nude bathing at selected beachesYesNo
I believe most unemployed people are unemployableYesNo
I believe film censorship should be introducedYesNo

CUISINE

Answer YES or NO to the following questions.

I like Chinese foodYesNo
I like Italian foodYesNo
I prefer to dine in well-known restaurantsYesNo
I prefer good home cooked mealsYesNo
I prefer to eat take away fast foodsYesNo

LIFESTYLE

Answer YES or NO to the following questions.

I prefer to be out partyingYesNo
I prefer to spend quality time at home with familyYesNo
I prefer to get out and about and travel constantlyYesNo
I prefer a quiet simple homelifeYesNo
I have a strong family connection to my lifestyleYesNo

COMMENTS

Below are listed a number of comments. Please mark the box for any comment you would like noted on your profile.

I would like a partner with their own home I would like a partner renting a house or flat
I would like a partner boarding or with parents I would like a partner sharing with others
I would like a partner to provide accommodation Contact me by my email
Telephone me and reverse the charges Accommodation is not important
Telephone me any time, keep trying Telephone me evenings or weekends
Telephone me during business hours I have no telephone, contact me by mail
My address is confidential My address is not confidential
I would prefer to meet someone locally I would be prepared to meet someone in the city
I would be happy to meer people from other states I would be happy to meet people from other countries
I am a good mixer I have a happy nature
I am an easy-going person I am a quiet person
I am shy I am reserved
I have my own transport I have my own car
I would like my partner to have their own car I speak other languages
I would move for a compatible relationship I would like to marry eventually
I am looking for a permanent relationship I am seeking companionship
I would like to form friendships I would like to have a pen friend
I would like to find a travel companion I would like to find a business partner
I would like my partner to be business minded I believe in equality in relationships
I am a very moral person I have strong religious beliefs

ENLARGE ON VALUES AND ATTITUDES

Use this area to describe yourself or any information you think might be useful.

Use this area to describe the type of people you would like to meet.

LOCATION OF INTRODUCTIONS

I would prefer to meet people from:
Anywhere in the world Anywhere in my part of the world
Anywhere in my own country My own own state or province
My own city and nearby towns As close as possible
State, city, or province: Country or countries:

SERVICES WE PROVIDE

FREE LISTING SERVICE:
This service is provided at no cost to you. You may list your details on our main listing which will make you available to meet our paying members. If you are selected by one of our paying members as a high percentage match, we will forward an introduction to you. We will leave your membership for an indefinate time until you find a suitable match. At any time, if you would like more regular introductions, you may become a paying member (see below).

REGULAR MEMBERSHIP:
This membership is for a period of TWELVE MONTHS after which time you will revert back to free membership. This membership enables you to request introductions at any time. As soon as a high percentage match is found it will be forwarded to you.

PRIORITY MEMBERSHIP:
The priority membership is the same as regular membership. However, when matching is done, your profile is put at the top of those requesting introductions therefore giving first preference which will ensure the best possible match.

* Please indicate below the type of membership you are applying for. We will contact you with a price should you choose a paying membership. The reason we don't quote prices is that fees may differ from country to country.

I would like to apply for FREE membership I would like to apply for REGULAR membership
I would like to apply for PRIORITY membership Please send me more information

CONDITIONS OF APPLICATION

Special Notice: You will not be considered a member until you have agreed to and signed a Description Statement and Conditions of Service Document.

(A) I certify that I am above the age of eighteen years old and I give permision for my details to be used for the sole purpose of comparing those details for the purpose of finding a compatible introduction to members and people on listing membership.

(B) I certify that all my personal details are true and correct. If any details are found not to be CORRECT your membership will become void. Under these circumstances membership will not be considered.

(C) Only personal addresses and personal email and personal telephone numbers will be used to supply introduction information. Post Office Boxes will not be used. Mobile telephone numbers will not be used.

(D) I agree to provide a recent clearly defined photograph of myself and to provide two forms of identification one with a photograph on it. Your photograph and I.D. will be used only to give you an identity profile. Your photograph is not to be published without your prior permission or consent

(E) I agree to contact all people to whom I am introduced and to show due respect to their wishes regarding the acceptance of any introduction and to be polite and caring.

(F) THE INTRODUCTIONS WE SUPPLY ARE MEANT ONLY TO BE A CONTACT. THE DECISION TO MEET OR TO CONTINUE TO MEET IS YOUR CHOICE. DUE CARE SHOULD BE TAKEN AT ALL TIMES AND WE SUGGEST FIRST MEETINGS SHOULD BE IN A PUBLIC AREA OR YOU SHOULD BRING A CHAPERONE.

I hereby agree to all the conditions of application and indemnify A SELECT CHOICE PTY LTD and their Agents; directors and employees, harmless for all claims of damage, resulting from this application.

I agree to sign a Description Statement and Conditions of Service document and choose my level of membership and agree to pay any agreed deposit or fee and acknowledge that I will not be a member until any agreed fee or deposit is paid and the Description Statement and the above conditions are met.

All enquiries regarding membership should be directed to:

Matching Department

A Select Choice
Suite32 Stanhill Building
34 Queens Road
Melbourne
Australia 3004

By pressing the SUBMIT FORM button below, I agree to all the above conditions A to F.

  


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