KNOCK MARRIAGE BUREAU.  QUESTIONNAIRE -- FORM B.
Particulars of yourself which you wish to have sent to anyone we think may be interested in an introduction to you.
(Name and Address only on Form A)

Nationality:
 

Date of Birth:
 

Occupation:


Education:


Appearance:


Height:


Interests and Hobbies:

Would you describe yourself as a religious person?


Whether Widowed:


If so, age of children, if any:


Single with child/children and age/ages: