בעזרת ה׳ יתברך
Last name* :
Hebrew first name* :
First name* :
Date of birth* :
Country of birth:
________________________________________________________________________________________
YOUR ORIGIN
Father's last name :
Father's first name :
Father's job :
Father's country :
Father's religiosity : ---TraditionalPraticingModern orthodoxOrthodoxHassidish
_______________
Mother's last name :
Mother's first name :
Mother's job :
Mother's country :
Mother's religiosity : ---TraditionalPraticingModern orthodoxOrthodoxHassidish
Comments :
Convert Year of conversion :
YOUR PHYSIC
Height in cm* :
Style : ---LeanSlenderAverageFat
Hair : ---WhiteGreyBlackBrownRedFair
Eyes : ---BlackBrownBlueGreenGrey
Complexion : ---ClearDark skin
YOUR PERSONNALITY
Personnality : ReserveBalanceExtrovert
Character :
Style : ClassicBCBGBohemianDécontractModeSportive
YOUR PARTICULARITIES
Smoker
Physical Handicap :
Mental Handicap :
FAMILY SITUATION
Divorced Year of divorce :
Widow Year of widowhood :
Number of girls : Age :
Number of sons : Age :
Number of children by you :
YOUR RELIGIOSITY
TraditionalPraticingModern orthodoxOrthodoxHassidish
I light on Chabbat candles : ---Each ChabbatSome timesNever
I eat kosher : ---At homeOutsideAt home and outside
I want to progress :yesno
Techouva Year of techouva :
I study Torah : ---Each dayOnce a weekSome timesHalf timeFull time
My Rabbi :
My Shul :
Informations by :
YOUR PROFESSIONNAL SITUATION
Profession :
SECULAR STUDIES :
---PrimaireCollègeLycéeBACBAC+2BAC+3BAC+4BAC+5DOCTORATPLUS
JEWISH STUDIES :
LANGUAGES :
ALYAH
---Short timeMaybeNot now
YOUR HOBBIES
Pet :
Instrumental music :
Conference Museum Lecture Sport Drawing Cinéma/Theater Photo Walking Cooking
YOUR WISHES
Age :
Height :
Personnality :
Religiosity :
Culturel level: ---PrimaireCollègeLycéeBACBAC+2BAC+3BAC+4BAC+5DOCTORATPLUS
Location :
ALYA :yesno
YOUR TWO ESSENTIAL CRITERIA First criteria :
Second criteria :
You accept :
You refuse :
YOUR COORDINATES
Recommandation by :
Address:
Town :
Aera code :
Country :
Your home phone :
Your work phone :
Your cellphone* :
Your URL :
Your email* :
I send my picture :
I allow Keren Rachel to send my picture to anyone : yesno