1 Step 1
IMBRA-covered situations require fee-based International Marriage Brokers to collect the following background information from United States clients before they may have direct contact with foreign national clients.
First Name
Last Name
(i) Any temporary or permanent civil protection order or restraining order issued against the United States client.
(ii) Any Federal, State, or local arrest or conviction of the United States client for homicide, murder, manslaughter, assault, battery, domestic violence, rape, sexual assault, abusive sexual contact, sexual exploitation, incest, child abuse or neglect, torture, trafficking, peonage, holding hostage, involuntary servitude, slave trade, kidnapping, abduction, unlawful criminal restraint, false imprisonment, or stalking.
(iii) Any Federal, State, or local arrest or conviction of the United States client for— (I) solely, principally, or incidentally engaging in prostitution; (II) a direct or indirect attempt to procure prostitutes or persons for the purpose of prostitution; or (III) receiving, in whole or in part, of the proceeds of prostitution.
(iv) Any Federal, State, or local arrest or conviction of the United States client for offenses related to controlled substances or alcohol.

Marital history of the United States client

Is the United States client currently married?
Has the United States client previously been married?
Has the United States client previously sponsored an alien to whom the client was engaged or married.
Does the United States client have any children who are under the age of 18?
(vii) List all States and countries in which the United States client has resided since the client was 18 years of age.
0 /
I certify and attest that my above client background information is true and complete. I also give my permission to Love From Abroad to release and provide this information in any format to any or all interested foreign ladies. I have provided all necessary additional truthful information to all questions answered 'Yes' above. I hereby waive any privacy rights in regards to release of this information. I also hereby release and hold harmless and forever discharge Love From Abroad from any and all liabilities arising from my release of this information and any use of it.
Signature
Date
date_range
keyboard_arrow_leftPrevious
Nextkeyboard_arrow_right
SIGN INTO YOUR ACCOUNT CREATE NEW ACCOUNT

Your privacy is important to us and we will never rent or sell your information.

 
×
CREATE ACCOUNT ALREADY HAVE AN ACCOUNT?

 
×
FORGOT YOUR DETAILS?
AAH, WAIT, I REMEMBER NOW!
×