Birth details

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Name *

Mr/Mrs/Chi/Kum etc Name
E-mail *
Report will be sent to this E-mail

Address (Optional). Reports by E-mail only.

Date of birth (DD/MM/YYYY format - Ensure correct details) *

- Day - Month Year
Time (Mention clock time without any corrections/ DST etc.,) *

: Hour Minutes
Place of Birth (Place, district, state, country) *
Details of payment (Forms without payment details will be rejected): *
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Details of Service opted for: *
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Any other details: *
Please write about languages you can read, gem stones you are using etc., Details of shanti etc.,
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