BIRTH CHART
FORM
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WHY WE....
"
We will make you beleive in astrology
"
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Name:
E-mail Address:
ENTER YOUR BIRTH DETAILS:
Name:
Sex:
Male
Female
Date of Birth:
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[dd/mm/yy]
Time of Birth:
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[hh:mm 24 hour format]
1
Birth Place:
Resident Place:
(Current)
Photo:
(Upload Photo of such person from next page)
Astrological Questions To Be Asked
Questions:
Select one or more question, which you want to ask and describe the selected question(s) in the box given bellow. Price is RS. 1000/- (INR) per question.
Joint Pain
Blood Pressure (Low or High)
Diabities
Migrain
Regular Fever
Hand Shaking
Digestion
Deepration
Other (only one question)
Describe Your Disease(s):
(You can select more than one question)
Note :
Also give full body healing for relaxation. Mental Meditation, to improve your confidence & Will Power.
1
Payment mode:
Credit Card
DD
1