Registration form Please enable JavaScript in your browser to complete this form.Your Name: *FirstLastGender: *SelectMaleFemaleEmail: *Contact Number: *Date of Birth *Please put your DOB as DD/MM/YYHeight *Marital Status: *SelectNever marriedPrevious nikah onlyDivorced with no childrenDivorced with childrenWidowed with no childrenWidowed with childrenCountry of Citizenship: *City and Country of Residence: *What is your residency status in Australia? *SelectAustralian CitizenPermanent ResidentTemporary ResidentOtherAre you willing to relocate? *YesNoYour father's name: *Your mother's name: *Your ethnicity: *Please tell us where you or your parents are originally from.Please list all the languages you can speak: *Your highest level of education: *SelectHigh SchoolCollege/Associates DiplomaUniversity Bachelors DegreeUniversity Masters DegreePhDOtherWhat is your current occupation/employment? *What are some of your interests and hobbies? *Islamic ActivitiesVolunteeringPolitics & Current AffairsCamping/OutdoorsSportsCooking & BakingInterior DesignDining outSocialising with friendsExercisingGardening/LandscapingArts & CraftsMovies/TV ShowsReading & WritingShoppingTravelFinancial InvestmentsVideo GamesOtherWhich of the following describe you: *ReligiousAdventurousFunnySocialCareer-orientedFamily-orientedVolunteerConservativeLiberalExtrovertedIntrovertedCultural/TraditionalPlease describe more about yourself: (likes/dislikes, predominant characteristics etc.) *Are you Syed? *YesNoNot sureDo you observe hijab? (required field for females only)SelectI wear hijab regularly.I wear hijab sometimes.I can consider wearing hijab.I do not wear hijab.Do you maintain a beard? (required field for males only)SelectYesSometimesNoHow often do you attend the mosque/bargah? *RegularlyFor major eventsSometimesHardly everHow religious do you think you are? *ReligiousSomewhat religiousNot religious at allPlease describe your level of religious practice? *Would you like to attend educational courses, seminars and workshops related to marriage? *YesNoSpouse preference - Ethnicity *Spouse preference - Languages spoken: *Spouse preference - Country and City of residence: *Spouse preference - Country of citizenship: *Spouse preference - Residency status in Australia: *Australian CitizenPermanent ResidentTemporary ResidentOtherSpouse preference - Age range: *Spouse preference - Marital status: *Never marriedPrevious Nikah onlyDivorced with no childrenDivorced with childrenWidowed with no childrenWidowed with childrenSpouse preference - Level of education: *SelectHigh SchoolCollege/DiplomaUniversity Bachelors DegreeUniversity Masters DegreePhDOtherSpouse preference - Hijab observance:SelectWear hijab regularlyWear hijab sometimesConsider wearing hijabNot wear hijabDoes not matter*This field is required for male candidates only.Spouse preference - Beard maintenance:SelectYesNoDoes not matter*This field is required for female candidates only.Spouse preference - Syed/Non-Syed? *Must be SyedMust not be SyedDoes not matterWhat kind of religious practice do you expect from your spouse? *What are the 5 most important characteristics you are seeking in your spouse? *Are there any restrictions in your spouse selection? *Syed/Non-SyedAge gapBorn/raised in a developed countryEducated in a developed countryLiving in your stateSpecific professionVisa/residency status in AustraliaOtherNoneIf you selected 'other' in the previous question or have any further comments, please provide details here:When you click submit at the end of this form, you are declaring that; *The information provided in this form is true and accurate to the best of your knowledge. *You understand that all suitable efforts will be made by CiPA to keep your data secure. *You will keep confidential any information of other candidates that is shared with you in the provision of these services.Submit Please note A copy of the submitted form will also be sent to the email provided above. It is recommended that you also check the junk folder in case you miss the confirmation email. × Dismiss alert