Online Registeration Form


We are a professional company, who cares about our future population's happiness as our company expand to embrace matchmaking.The vision of Celeb Rose is to bring together those who share the common interests of family tradition and wholesome values. In particular, we encourage caring, loyalty and family value in relationship building.

Besides filling up the following form, please make sure to send your photos to chinesebride123@gmail.com

Part 1 Your Information:

Your Contact Information:
Your Name : Name is required. Home number :
Cell number: * Cell No. is required. Your most accessible number:  * Most accessible number is required.
City: *city is required. State:
Email: * Email is required. website (if any):
Residence situation: Residence situation Distance to NYC:
Do you agree to come to the lady for your first meet?
Yes No

Your Basic Information:

Age:

Mention Your Age. Date of birth: date month year
Gender: Required
Primary ethnicity: Required

Religion:

First language: First language is required.
Second/other language(s) and level: Second language is required. Marital status: Marital status
If you are divorced, how long did your previous marriage last: Required. When did it end: Required
Do You have Children: Required How many: Required.
If Yes, how old they are: Required. Do they live with you: Required

Physical Attributes:
Your looks: Select Your look.    

Height:

Required

Weight:

in Kg.

Hair Color:

Eye Color:

Career Education:
Education background: * Education is required. Graduated school:
Your academic major: Career field: Required.
Your company and title: Annual income level: Required.

Habits:

Smoker/Non-smoker:

Smoker Non-smoker
Drinking habits:
Your hobbies:
About me (1000 words maximum): 

Part 2 Your Expectation:

Her Basic Information:

Age range:

Select Age range.
Can you accept her previous Marital status?
Can you accept her children?      
Yes No
Can you accept her children living with her?
What level of English fluency is acceptable?
Can you accept non-English speaker?
Yes No

Her Physical Attributes:
Level of physical attractiveness? 
Her height range:
Her weight range: in Kg.

Her Career & Education:

Minimum level of acceptable education:

Her career field:

  No Preference
  Preference  

Her annual income should be around:

  No Preference
  Preference  

Do you accept that she is financially dependent?

Yes No

Her Habits:
Smoker: smoke No-Smoker
Drinking Habbits:
About her (write something about your expectation to her, including her outside and inner quality. (1000 words maximum) (optional):
 
Registration date: Select Date

Besides filling up the above form, please make sure to send your photos to chinesebride123@gmail.com


By submission of this form you affirm that you agree to the Celeb Rose
Terms and Conditions for Program.
Select Term and condition.