| Basic Information |  |
| Marital Status: | Widowed | | Religion: | I'll tell you later | | Languages: | English, Afrikaans | | Referred by: | Other Reference |
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| | Physical Appearance | |
| Ethnicity: | Caucasian (white) | | Height: | I'll tell you later | | Body Type: | Slim | | Eye color: | Brown | | Hair color: | Dark Brown | | Best feature: | I'll tell you later |
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| Lifestyle | |
| Sense of humor: | Goofy: Cartoons still crack me up | | Exercise: | I'll tell you later | | Daily diet: | I'll tell you later | | Smoking: | I'll tell you later | | Drinking: | I'll tell you later | | Living situation: | I'll tell you later | | Kids: | No | | Want children: | Yes |
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| | Professional Life | |
| Job schedule: | I�m a regular 9 to 5�er | | Current annual income: | I have just enough | | Employment status: | I'll tell you later | | Education: | I'll tell you later |
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| Interests | |
| Hobbies: | I'll tell you later | | Hot spots: | I'll tell you later | | Favorite things: | I'll tell you later | | Last reading: | I'll tell you later |
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| | Descriptive information | |
| Date me: | Why is in your mind | | What I want: | Some that's them self |
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