Thank you for your interest in meeting me, I’m flattered and look forward to becoming acquainted. Without exception, I require all first-time gentlemen to be screened. I hope you can understand that my standard screening process is simply about my safety, which ensures we will both feel comfortable during our date. Your privacy is of utmost importance to me and your screening information is deleted after successful verification. If screening forms are not your cup of tea, you may email me the required information below at I am not in the business to gain the maximum amount of clients nor to accept every application. My focus reigns supreme on quality engagements, not quantity. I look forward to reading your application.

    Your Details

    * Full Name:

    * Email:

    * Telephone Number:

    Appointment Details

    * Date of Booking:

    * Time of Booking:

    • :

    * Alternative Date of Booking:

    * Alternative Time of Booking:

    • :

    * Duration:

    * Incall/Outcall

    * Please provide your location name and address:

    * Please provide your location name and address including country & city:

    Screening Options
    (choose your preferred method of screening)

    1. Companion References
    Minimum of 2 references from companions you have visited in the last 6 months. Name, website, email + phone number.

    * Companion reference 1:

    * Companion reference 2:

    2. Employment Verification

    * Position:

    * Company name:

    * Company main phone number:

    * Your direct line:

    * LinkedIn page:
    with 250+ connections and profile picture.

    3. ID

    * Please provide a copy your photo ID (max file size 5mb):

    4. P411

    * Please provide your P411 details for verification:

    Additional Information

    * Where did you hear about me?

    Would you like to share your picture with me? If yes, please upload. (max file size 5mb)

    About you / questions / requests...