Official Form

Official Form (personal informations and datas)

*This form will be filled by the respondent on his/her on will

*To be strongly emphasized that all information that you have been given MUST BE REAL and IDENTICAL to what are written in your BIRTH CERTIFICATE/IDENTITY CARD.
All personal information will NOT be disclosed and kept as PRIVATE and CONFIDENTIAL DOCUMENTS.

*Fill this form only when you are 100% sure that you won't regret being a SLAVE/PROPERTY of your OWNER. This form will officially being send to International Registry of Slaves (IRS)/ other after 1 month period of trial (as it has been informed by me at the beginning). -vice versa-

*If there is any problem occurs (e.g. being abandoned/disqualified/regret in the trial period), the form will be abolished immediately by the owner (terms and conditions apply)

*Any enquiry/question regarding to this form, contact your owner

*Fill in every single detail that is in this form -additional information of your are needed to be given-information that's not available, state N/A

*Rules and Duties will be given after filling this form, if not, enquiry within me, your owner

*If you're not willing to be a property of this owner, please do not fill this form.
(this form is personally and officially prepared by Suki, not for other purposes/uses)

Click here to contact your provider

copyrighted to Suki 2009
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Personal Information

Section A:

Full Name (as in identity card) :

Identity Card Number :

Birth Certificate Number :

Passport Number :

Driving license Number :

Date of Birth (as in birth cert.) :

Place of Birth (as in birth cert.) :

Time of Birth (as in med. cert.) :

Years in Malaysia (if any) :

Horoscope/Chinese Zodiac :

Blood Type :

Hair/Eye/Skin Color (natural) :

Hereditary Disease (state if any) :

Other Disease (state if any) :

Height(cm)/Weight(kg) :

Postal Address (as in ID card) :

Home Phone (with country code) : +

Mobile Phone (state if any) :

Email (state all) :

Section B:

Personalities
-pros :
-cons :

Current Nationality state in full :

Current Country state in full :

Heritage state in full :

Languages
-main:
-sub :
-little:

School (education)
-kindergarten :
-primary/elementary :
-middle/high school : (secondary)
-college/university : (tertiary)
-other/advance :

Hobbies (state all) :

Ambition (state all) :

Occupation (state all) :

Smoke/Drink/Gamble (state yes/no for each) :

Broken bones (state if any) :

Braces (state if any in year) :

Scar/Stitches (year, reasons, where) :

Siblings (how many, names…etc)(list out in details) :

Relationships (how many, names…etc)(list out in details) :

Virginity (sexually active)(yes/no; if yes, when and with whom):

Allergies (state if any) :

Instruments (state if any) :

Likes (state the mains) :

Dislikes (state the mains) :

Fears (state all) :

Nicknames (state if any) :

===============================================
Extended Information

*for this section, for those who has guardian/foster parents, please state

*for more/no siblings, add in / state N/A

*for relationship, the first 3 must be filled-more than 3 state in (no. of gf/bf); (the last gf/bf's name and info)-none or less than 3, state N/A

*last sexual activity, for virgin state N/A


Father’s name:
Father’s DOB.:
Father’s age:
Father’s occupation:
Father’s contact:


Mother’s name:
Mother’s DOB.:
Mother’s age:
Mother’s occupation:
Mother’s contact:

Brother’s name:
Brother’s DOB.:
Brother’s age:
Brother’s occupation:
Brother’s contact:

Sister’s name:
Sister’s DOB.:
Sister’s age:
Sister’s occupation:
Sister’s contact:

1st partner's name:
Age/DOB.:
Relationship period: (from to )
How you met:

2nd partner’s name:
Age/DOB.:
Relationship period: (from to )
How you met:

3rd partner's name:
Age/DOB.:
Relationship period: (from to )
How you met:

last sexual activity (date):
(who):
(relationship):
(reason) :