MEMBER CONFIDENTIAL PROFILE (Not to be shared with other members)
MEMBER’s PROFILE FOR SHARING WITH OTHER MEMBERS
SEX:
-- Male Female
AGE RANGE:
-- 18 - 24 25 - 30 31 - 35 36 - 40 41 - 45 46 - 50 50 - 55 56 - 60 61 - 70 >70
COUNTRY OF BIRTH:
CITIZENSHIP:
MARITAL STATUS:
-- NeverMarried Divorced Separated Widowed
If Divorced or Separated, has your divorce/separation legally finalized ?:
-- Yes No
If yes. Which year?:
If applicable, how many children do you have ? Ages of your children :
Age of you children:
Have you ever been charged and/or arrested by the police (If yes, please provide details)?:
Do you have a college degree ? :
-- Yes No
If yes, name of your degree and your university:
Please state any Professional training or license that you have obtained:
YOUR RELIGION:
How is your health generally?:
Do you smoke?:
-- No not at all. Yes occaesionally. Yes daily
Do you have any medical conditions? :
-- Yes No
CURRENT OCCUPATION HAVE YOU HELP THIS OCCUPATION IN THE PAST 5 YEAR?:
-- Yes No
If no, Your other occupation?:
How do you know us (TimBanDocThan.com) ?:
-- Vien Dong newspapers Nguoi Viet Newspapers Viet Bao Newspapers Viet Tide Weekly Nguoi Dua Tin/Vietnamerican Weekly Nguoi Viet Tu do (San Diego)Weekly Thang Mo Nam Cali Weekly Vien Dong Year Book Nguoi Viet Year Book Radio Internet/Search Engine From Friends/Relatives other
Why do you want to join us (TimBanDocThan.com) ? :
-- Have fun Make friends Other