Horoscope Order

No. Point    Details
1 My Name :
2 Member of WORLD PANCHANG : Yes  No
3 My telephone Number :
4 My email - id :
5 Make  Horoscope of : my
                                                             [full current name -- with initials, sirname, lastname etc.]
6 Place of Birth   : Please only answer 6a or 6b or 6c. 

6a. 

 Select : Place     :
6b. Only if not found in 6a type town 
/ city name  and select country 		 : Other    : 

Country :

6c.

Only if  remote Artic or Antartic location, select latitude and longitude. This is meant for R&D students.

 : Latitude   :deg    minutes

Longitude:deg minutes

7. Date of birth : - - Yr  Find  from Indian month name 
8a. Time of birth : h m 
8b. Time Zone :  GMT      h m  [if not in India]
8c. Summer Time :   h m  [if applicable]
8d. World War Time :   h m  [1940 to 1945 A.D.]
9. Horoscope Output  : Print and send by post or Email attachment in following format:
Txt   Doc  Ascii   Pdf  Html  
10. Current Postal Address :
11. Topics of my 3 Questions

[tick appropriate boxes]		 :
General Health  Wealth  Speech 
House  Property Child  Sickness
Marriage Death Travel Emigration
Job Business Love Affairs Education
  Profit Buy Sell Foreign Travel Luck
Family Debt Occupation Theft
 12. Question 1 :   ?
 13. Question 2 :   ?
14. Question 3 :   ?
15. Note to astrologer on special point to note and calling attention to past events or circumstances, medical history or accidents or problems known. :  

Privacy & Secrecy

All information given in this form will not be revealed to anybody else other than the astrologer.  All the data sent by you will be deleted within one month.  NO records are kept beyond 1 month.  If you come back after 32 days you have to give all data afresh.  This is to maintain highest confidentiality and secrecy.  

Payment Details

  I will send bank draft / cash / money-order / cheque payable at Mumbai for Rs. 250 in favour of "SysGen Business Solutions", A-15-5, Shree Ram Nagar, S.V. Road, Juhu Lane, Upasara Lane, Andheri West, Mumbai 400058, INDIA. Tel: 91-22-26243833
Online Payment   [secured site gateway]
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Credit Cards (Master, Visa, American Express, JCB, Citibank eCard, Citibank Diners Club)

Netbanking (HDFC, ICICI Infinity, IDBI iNet-Banking, UTI iConnect, Centurion Bank ePay, Global Trust ibank, Citibank Suvidha, Citibank Rupee Checking, Citibank Net-Banking)

Rs.  250 to be billed to my credit card / bank statement as ccavenue.com or Avenues(I) Pvt. Ltd. as membership fees for 5 years to receive Email reminders etc. from WORLD PANCHANG. [INR 250 = about US$ 5 equivalent]

           

Once your horoscope order is received we will check the details. If there is some doubt, we will Email you for clarification. After all details is properly received, we will make the horoscope. The  horoscope and answers  will be sent to you by Post/Email to the id filled by you against item 4. If you do not receive this within 7 days of sending your details, please email to us at info@reliableastrology.com.

For urgent personal consultation please phone first then come.

T.V. Lakshmanan
Astrologer and Panchang Karta
Phone : 91 - 22 - 2624 3833.
Email: tvl@reliableastrology.com
http:\\www.reliableastrology.com

A-15-5, Shree Ram Nagar,
Juhu Lane, Upasara Lane,
Shree Ram School Compound,
S.V. Road, Andheri West,
Mumbai 400058, INDIA.