JESUS CALLS MARRIAGE BUREAU FORM

PERSONAL INFORMATION
Partner NO____________

MB REGD NO_________________

I. PERSONAL DETAILS.
1.Title:.......... Full Name:..............................................................................................................
2.Sex: Male/Female

3.Age:______

5.Marital Status:

Unmarried / Single / Widow / Widower / Divorcee

Affix recently
taken passport size
photograph

4.Date of Birth:(dd/mm/yy) ___/___/____

6.Contact Address:
...........................................................................................

Phone (Res.):......................................................

...........................................................................................

Fax:.....................................................................

............................................................................................

Mobile /Pager:.....................................................

Place:..................................................................................

Pin:......................................................................

District:................................................................................

E-Mail: ................................................................

State:..................................................................................

Country:..............................................................

7.Mother Tongue:.......................................................

8. Native Place:................................................................

9 Caste:......................................................................

10. Denomination:..............................................................

11 Complexion:

........................................................

12. Height: Ft:______ / Cms: ______

13 Are you Handicapped? Yes/No (if yes, specify)......................................................................................................

14 Educational Qualifications:
a).............................................

b).................................................

c)..............................................

d).................................................

15.Occupation: ..................................

16.Salary (Monthly): Rs..................................

17.Organisation Name:.................................................................................................................................................
Place: .....................................................................................................................................................................

II. FAMILY DETAILS:

1.Fathers Name:....................................................................

Occupation:.........................................................

2.Mothers Name:...................................................................

Occupation:.........................................................

3.No. of Brothers :

_____

4.No. of Married Brothers : _____

Sisters :

_____

Sisters : _____

III. SPIRITUAL STANDARD, TALENTS & GOSPEL WORK :

1.Are You Saved?:

Yes/No.

2.Received Holy Spirit?: Yes/No.

3.Church Affiliation:.....................................................................................................................................................
With Address
4.Music: Yes/No.

...................................................................................................................................................
Phone:.....................................
Pin:.....................................
Singing : Yes/No.
Others:..........................................................................

5.Ministry Interest :VBS Teacher/Sunday School/Evangelical Work.

Others (Specify) :...................................................................................................................................................
6. Are you trained in Jesus calls Power Ministry : Yes/No.
If Yes please specify the Batch No. & Year ..............................................................
IV. LIFE PARTNERS EXPECTATIONS:
1.Inter Caste Marriage: Yes/No.

If Yes ,Expectations (If Any):...........................................................................

2.Inter Denominational Marriage: Yes/No. If Yes ,Expectations (If Any):. ..........................................................................

3.Age

4.Height:

Elder by:
Difference:

From ___ to ___

Younger by :
(For Female Partners)

From: Fts: _______Cms:_______

5.Educational Details:

From____ to ___
(For Male Partners)

To: Fts: _______Cms:________

a)........................................ b)......................................................

6.Occupation: a)____________________b)____________________c)__________________
7.Regionality: Local/Abroad/Any

8.Complexion:........................................................................

9.Mother Tongue:...............................................

V. SPECIAL INFORMATION:
Are you willing to marry a Widow/Widower / Divorcee / Handicapped? (Tick all that apply)
Bride wear Jewels:
YES / NO
Photo to display in Jesus Calls website:
YES / NO
VI. REFERENCES:
Kindly furnish the names & addresses (Phone no.If any) of two persons known to you but not related.
1. ...........................................................................
...........................................................................
...........................................................................
...........................................................................

2. ...........................................................................
...........................................................................
...........................................................................
...........................................................................

Contact No:........................................................................

Contact No:..............................................................

VII. DECLARATION:
We hereby declare that the details given above by us are true to the best of our knowledge and belief. We hereby further
declare that we will not claim any legal remedies as a matter of right at any time in future for the sincere efforts taken by
Jesus Calls Marriage Bureau in arranging the marriage alliance. These particulars may be freely furnished to anyone
interested. I will continue my own efforts in this regard and keep you advised if there is any positive development.
Place:..................................................

Signature of Applicant:....................................................................

Date:....................................................

Signature of Parent/Guardian:....................................................................

VIII. VERNACULAR DECLARATION:

(Those who do not know English may fill this)
We certify that the comments of this form and Declaration were read out and explained
......................................language. We have signed this declaration after fully understanding the same.

to

Place:..................................................

Signature of Applicant:....................................................................

Date:....................................................

Signature of Parent/Guardian:....................................................................

us

Witness:
1.

...........................................................................
...........................................................................
...........................................................................
...........................................................................

2. ...........................................................................
...........................................................................
...........................................................................
...........................................................................

Send us one full size photograph taken recently

Complete this form fully and send to:
Jesus Calls Marriage Bureau
16, D.G.S. Dhinakaran Road, Chennai-600028, India.
Telephone: (91-44) 23456677; Fax: (91-44) 24936988.
E-mail: mb@jesuscalls.org

FOR OFFICE USE ONLY

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