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Club YY

- Registration:
Note: Information required is in orange color. Any personal information you provided here is for registration purpose only. CSSS takes your privacy seriously and will not disclose your identification information to any entities.

Family Name:		First Name:
Address：
E-mail address:
Tel (home):		Tel (work):
Affliation (academic department or company and insititution name)

- Information you would like others to know:

Nickname:
Sex:	Female Male	Age:
Height:		Body type:
Education:		Religion:
Current location:
Status:	Never married Divorced Other
How do you describe yourself?

How do you describe the kind of person you want to meet and type of relationship you're looking for?

Note: After receiving your online request, Club YY manager will contact you to confirm the information you provided, and ask you to send us a photo of yourself as soon as possible. If you have difficulties in sending this form, please send the above information directly to us. Thank you!