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Application form for Yagya Performance
In order to obtain a Yagya Performance, please fill in this form. Press “Submit”, once you have filled out all the fileds. Once we have received your request we will contact you E-mail.
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
For Yagya Recommendation the birth chart should be correct, for this birth time should be exact, If your birth time is not exact, please make proper comments on this for the of your birth time.Please, mention the types of Yagyas you want to request.
