Name - Given / Family                                        

Location and date of birth.
 

My character.
 

My lifestyle. (Work, Interests etc.)
 

My family and friends.
 

My history and experiences.
 

My goals and dreams for the future.
 

Do you have a nickname in case Japanese people find
your real name difficult to pronounce?


Section 2
The information in this section is for our records only.

 Residential Address        
 

Employer's Name 


Employer's Address


My E-mail address is
 

Phone Number with area code. (Optional)
 

The minimal requirements necessary of a female member
before I will start communicating with her by E-mail.
 

The qualities I hope to find in a future partner. (optional)


I'm willing to travel Sydneyto meet a Japanese lady.
                               Brisbane
                                  Noosa
                                    Japan

Please write any questions and comments you have
in the box below.
 

Section 3
This section is to show us that you're aware of OUR expectations.

Tick the boxes that are correct for you.
I'm interested in finding a Japanese lady for a mutually
rewarding, long term relationship.  

I'm not legally bound in marriage to any person.

I will take personal responsibility for relationships entered
into with Japanese lady members. I will not hold
DatingJapaneseLadies responsible
for any emotional damage caused from a relationship
with a female member.

I realize that `DatingJapaneseLadies` has the right to
return all submitted papers and photographs to any
Australian male member and cancel their membership
at any time for any reason.

I understand that I need to submit all the required documents
and meet a DatingJapaneseLadies representative before
I can start communicating with any lady members.
See How To Join

After you press OK, you'll be able to check your responses.
Then, you'll need to press CONTINUE to send your 
responses to us.