I have received your order/request for a Jyotish (Vedic astrology) reading and need the following information for proceeding further. Please complete the form Sections A to H and email it back to me. After receipt of your information, please give about one week for making and initial study of the chart. In case we need further information, we will get back to you on this. If the appointment date and time has already been intimated kindly ignore this advice.
- Contact Details
Name:
Street:
City:
State:
Zip:
Country:
Email:
Telephone:
- Reading Details
Reference:
Have you had a Vedic Astrology reading before?
- Chart Details
Name:
Date :( Date/Month/Year)
Time: HH.MM.SS [AM/PM]
Time Zone: HH:MM [East/West]
Place:
State:
Country:
Source of birth data (very important):
- A few important events are required for verification of the data given
Event#1: Date (dd/mmm/yyyy)/Time/Description
Event#2: Date (dd/mmm/yyyy)/Time/Description
Event#3: Date (dd/mmm/yyyy)/Time/Description
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- Areas of your life you wish the reading to focus on. Please indicate one or two areas to focus on.
Some possible areas are listed and this is not exhaustive. You can enquire about almost anything.
Area of life Tick here
1. Health, personality traits [ ]
2. Wealth, income, business [ ]
3. Brothers, sisters, travels [ ]
4. Home, property [ ]
5. Children, speculation [ ]
6. Court cases, litigations [ ]
7. Marriage, relationships [ ]
8. Death, disease [ ]
9. Parents, grandparents, elders [ ]
10. Career, job [ ]
11. Friends, social contacts [ ]
12. Spiritual path, spiritual teacher [ ]
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- What kind of reading do you prefer?
1. Phone reading
2. Personal meeting [The reading can be recorded and you can also follow up on questions.]
Your Preference:
- Any other matter you want to mention or any other notes for our consideration.
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- Please indicate the following
1. Religion or faiths in case remedial measures are to be prescribed:
2. Would you like to use gemstones?
3. Do you believe in doing mantras?

