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Vedic Reading Form Appointment with Pt. Sanjay Rath

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Vedic Reading with Pt. Sanjay Rath www.srath.com
Vedic Reading Form
Appointment with Pt. Sanjay Rath
The following information is required for a Jyotish (Vedic astrology) reading with Pt. Sanjay
Rath. 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.
Please fill this form and mail to vedicreading@srath.com and appointment@srath.com
Appointment Date
If the appointment date and time has already been intimated kindly ignore this advice for
seeking appointment date, but be sure that we need this form even if you are an old client. Life
is very dynamic and I have calculations to do.
If you have not received an appointment date/time, please email Mrs Sarbani Rath
SarbaniRath@gmail.com and sarbanirath@me.com. Email is preferred as we have records to
followup conversations. In case of an emergency, call her mobile +91-9810449850
Payment method
(1) Please pay at the website http://srath.com (links given in right margin of frontpage in a box
with tabs or an inside page for readings)
(2) You can directly pay at www.PayPal.com to VedicReading@SRath.com
(3) OR please provide the following information for sending an invoice.
DO NOT send your credit card number. It is a security risk to transmit this over email. We will
e-mail an invoice to enable payment through the net based on information provided.
Card Holder (Name):
Address:
Street:
Phone:
City:
Mobile:
State:
E-Mail:
Zip:
Skype:
Country:
Name Information
Reference:
For Vedic Numerology Calculations: Do not write in
box
Have you had a reading with Sanjay Rath before?
Name at Birth:
Name changes if any with date:
Pet Names or other Alias:

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Vedic Reading with Pt. Sanjay Rath www.srath.com
Birth Data
Date of Birth:
Date/Month/Year
Time of Birth:
HH.MM.SS [AM/PM]
Time Zone:
HH:MM [East/West]
Place of Birth:
State of Birth:
Country of Birth:
Source of birth data:
Please give the source of the birth data to check the accuracy.
Data Verification procedure
Some events of life are required to verify the birth data given. These life events can be anything of some
significance in your life like birth of brothers and sisters (younger), school admission dates, leaving home,
death of a loved one like parent or sibling, marriage dates, child birth, ill-health dates or surgery or
anything that has made some impact in your life. We ask for at least three events but if you recall more
dates, please include them after the first three.
Why are we asking for this? A human being is born every minute and we do not know if the chart being
seen is that of yours or another human being born a minute or two apart. The information you provide
shall help us in ascertaining the exact birth time. We respect your privacy and shall not share this
information with anyone or for any purpose what-so-ever.
Event#1: Date (dd/mmm/yyyy)/Time/Description
Event#2: Date (dd/mmm/yyyy)/Time/Description
Event#3: Date (dd/mmm/yyyy)/Time/Description
Event#4: Date (dd/mmm/yyyy)/Time/Description
Event#5: Date (dd/mmm/yyyy)/Time/Description

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Vedic Reading Form Appointment with Pt. Sanjay Rath The following information is required for a Jyotish (Vedic astrology) reading with Pt. Sanjay Rath. 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. Please fill this form and mail to vedicreading@srath.com and appointment@srath.com Appointment Date If the appointment date and time has already been intimated kindly ignore this advice for seeking appointment date, but be sure that we need this form even if you are an old client. Life is very dynamic and I have calculations to do. If you have not received an appointment date/time, please email Mrs Sarbani Rath SarbaniRath@gmail.com and sarbanirath@me.com. Email is preferred as we have records to followup conversations. In case of an emergency, call her mobile +91-9810449850 Payment method (1) Please pay at the website http://srath.com (links given in right margin of frontpage in a box with tabs or an inside page for readings) (2) You can directly pay at www.PayPal.com to VedicReading@SRath.com (3) OR please provide the following information for sending ...
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Really useful study material!

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