Girl's profile input form

Your personal data is protected except only for use under your permission.
 
CENA marriage.com / CENA academy.com
Office: Gifu, Japan
Email: info@cena-academy.com


First Name
Middle Name
Last Name
Birth Data
Height & Weight
E-mail address
Skype name
LINE name
Mobile Phone number
Address
City / Province
Education
Religion
Job
* Prostitution denied here.
Legal Marriage History
Your Child
Boy-friend, do you have now?
Medical Check, can you get if we want?
* Health & Pregnant check
* Medical Check fee is to be paid by us.
Family member
IDs, you have.
ID with your face photo printed, attach here
Can you send us one of your ID with your face photo?
Passport, do you have?
Cash pickup, available
Bank account, available
Favor, if you can get.
Drinking
Smoking
Hobby
After inputting the form, tap the red bar below.
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