Name (Required)
Email (Required)
Gender (Required) MaleFemale
Sexual Orientation (Required) (Useful especially for Marriage/Relationship Consultation) Heterosexual (Straight)Homosexual (Same Sex)Bisexual (Both Sex)Asexual (No Interest)OthersNon-Disclosed
Birth Date (MM/DD/YYYY) (Required)
Birth Time (Required) (24hrs format preferred) Eg. "21:10" Or "9:10 pm"
Birth Country (Required)
Birth State (If applicable)
Birth City (Required)
Partner's Gender (Required) MaleFemale
Partner's Birth Date (MM/DD/YYYY) (Required)
Partner's Birth Time (Required) (24hrs format preferred) Eg. "21:10" Or "9:10 pm"
Partner's Birth Country (Required)
Partner's Birth State (If applicable)
Partner's Birth City (Required)
Marriage/Relationship History (For Marriage/General Consultation) (Brief details and dates of relationships/breakups will help in consultation. Please state sexual conditions and orientation for accuracy.)
Additional Information (Any compelling questions? Limit to 3) (State Wedding Date Range Required. Eg. Get married within next 5 years, next 24 Months, etc.)
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