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Application form for Consultation
 
We offer 3 types of consultation
1. *Brief Medium Consultation: This consultation covers all fields of life. Periodic prediction of the next 5 year and Yagya Recommendation, Answers of your specific questions. You can ask questions.
 
2. Brief Consultation One Year:
 
3. Brief Consultation Question & Answer:
 
Note: If you do not have correct birth time, we suggest you to get Birth Time Rectification before ordering for consultation.
 
Family Name:*  
First Name:*  
Gender:*  
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
Please:
Mention the type of consultation service you want to get :
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