Full Reading Intake Form

Your Name *

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Last

Name Of Person Reading Is For If Different To Above

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Last

Please read T&C’s below before entering anything here. By continuing you are confirming you have their permission.

Email *

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Telephone Number

Relationship Status *

Birth Gender *

Date of Birth *

Time of Birth (24-h format) *

Please be as accurate as possible as a small error can make a difference.

Earliest / Latest Possible Birth Time

If your birthtime approximate but within +/- 15 mins, please provide the earliest / latest possible times.

Source of Birth Time

Birth Location *

Please be as specific as possible.

Town of Residence

Dates of Past Significant Events *

Please provide dates of significant events such as marriage, house purchase dates, car purchase dates.

Subject of Consultation / Relevant Background Information *

Specifics you wish me to put particular focus on. This allows me to spend more time on it prior to our meeting.

I accept the terms of service below

**Terms and Conditions for Vedic Astrology Services**

This Vedic Astrology consultation represents my professional opinion based on training and experience in the field. Please note that opinions among astrologers may differ. Astrology services are not a substitute for professional legal, medical, financial, or psychiatric advice, and clients are encouraged to seek such services where necessary.

No guarantees or representations are made regarding the accuracy or significance of astrological interpretations or predictions, and I am not liable for any interpretation or use of the information provided. Predictions and analyses are offered as guidance and are subject to individual discretion.

Astrological remedies, such as gemstones, mantras, yantras, and yagnas, are prescribed based on the astrologer’s study of the birth chart and careful judgment. However, I cannot guarantee their efficacy, efficiency, or outcomes. Any decisions regarding the use of such remedies remain the responsibility of the client. Remedies should only be undertaken with full faith and sincerity; I do not endorse their use driven by fear, greed, or other negative emotions.

All information shared during consultations, or contained within any reports, is intended for general guidance and should not replace professional advice in medical, legal, financial, or other critical areas.

For any pujas, yagnas, or other ritual services booked, please note the following:
– These services are facilitated in India by external teams of priests or agencies.
– I will share your name, town of birth, town of residence, and horoscope details with the priests to perform the rituals.
– Your exact date and time of birth and address will *not* be shared.
– All bookings are non-refundable as services are arranged immediately upon confirmation.
– I do not oversee or control the actions or procedures of third-party service providers.

By engaging my services, you acknowledge and agree to these terms. Any inadvertent reference to an individual’s gender, caste, creed, religion, or spiritual path is unintentional and should be excused.

E&OE (Errors and Omissions Excepted).