Form English

Name and family name

Telephone Home

Office

Cellular

Actual address

Email

Diploma

Profession

Are you single/engaged/married/divorced ?

How many children ?

Your birth time as precisely as possible

Your birth date (day/month/year)

Your birth place (Town or village and country)

The following informations are required to verify your birth time and some other feature in your birth chart. Please fill them as precisely as possible. The dates required are only day/month/year

Gender and birth dates of your brothers and sisters

Have you any deaths among near relatives ? Please tell who and when

Are you married ? Date

Divorced ? Date

Gender and birth dates of your children

Are you engaged ? Date

Any hospitalisations ? Dates

Important purchases ? Dates

Diploma's dates

Employment or business contracts dates

Travels dates

For other events, tell what is it and when it happens hereunder :

Which options did you choose ?

General Life

A Year forecast. If you want more than one year, thow many ?

Compatibility: for what purpose ? the name, birthdate, birthtime and birthplace of the partner are required :

Prasna: what is your question (only a single and clear question) + its date, time and place :

Name

Muhurta: for what purpose? If a partner is involved, his name, birthdate, birthtime and birthplace are required :

If you have something important to say, please write it down briefly :

For Muhurta, which interval of time should we search ? Ex. Oct-Nov 09

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