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Application form for Birth Time Rectification
In general the people do not know their exact birth time, even they know birth place and birth date exactly. To solve this situation there is a Vedic procedure to find out birth time with the help of important events.
Family Name:*
First Name:*
Gender:*
Male
Female
Street Address:*
ZIP Code:*
City:*
Country:*
Private Phone:
Office Phone:
Fax:
Mobile Phone:
E-Mail:*
Birth Place:*
Nearest big City:
Birth Country:*
Birth Date:*
(DD/MM/YY)
Birth Time:*
(hh/mm/ss)
Source of Birth Date and Time:
Mother / Near relative or hospital
Note:
*if the birth place has less than 3000 population/small town/village (for example, birth place is 25 km west of New York):
Nearest City
/ Big town:
Birth place in KM
Direction
of above mentioned city/big town
Please provide at least 8 to 10 major events of your life like marriage, births of children and younger siblings, accidents, major loss or gains etc. which are directly related to the person. Choose from the list an event, where you know the exact date (Day/Month)Year), then enter the exact date, if applicable, give your comments, if you can not find an event of your life in the list, choose “Other” give exact details of the event in the field
“Comments”.
Event:
(DD/MM/YY)
Comment:
Event:
(DD/MM/YY)
Comment:
Event:
(DD/MM/YY)
Comment:
Event:
(DD/MM/YY)
Comment:
Event:
(DD/MM/YY)
Comment:
Event:
(DD/MM/YY)
Comment:
Event:
(DD/MM/YY)
Comment:
