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Vedic Astrology

Please write clearly

First Name(s)....................................................................................................... M/F.........

Last Name........................................................................ Marital Status............................ Nationality......................................................................... Profession.................................

Birthplace.......................................................................... Country.....................................

(if a very small town/village, please give nearest large town also, write actual birthplace first)

Birth date: Day................. Month................................. Year ......................

Time (as on clock - do not correct for summertime, etc.).......... : ........ AM/PM..........

Range of possible birth times: Earliest........................... Latest.................................

Source of birth time information..................................................................................

Your Principal Questions

1........................................................................................................................................

2........................................................................................................................................

3........................................................................................................................................

IF YOU KNOW YOUR BIRTH TIME TO WITHIN A FEW MINUTES AND DO NOT REQUIRE RECTIFICATION, SKIP THE NEXT SECTION AND JUST COMPLETE THE PERSONAL INFORMATION AT THE BOTTOM

Questions for rectification purposes

If the birth time is not exactly known then it can be rectified (for an additional charge) on the basis of the following information (please use the back of this sheet and/or additional sheets):

Important Events please list at least 10 events of significance for you with as precise dates as possible (day/month/year or at least month/year with some idea of which part of the month if at all possible). Where applicable please give starting and ending dates. Also times if known. For instance, relationships , birth of children, career changes, important travels, major acquisitions and losses, accidents, operations, special experiences, initiations, etc. It is helpful if you give some indication of what the event meant for you.

Colours that you like and dislike.

Days of the week that you may feel good or not so good on in general.

A brief description of yourself and immediate family members (appearance, character, occupation, your relationship with them, birth, death/separation dates if applicable).

Write down the first number that comes into your head ............

Please give any times that you have received from other astrologers, intuition, etc.

 

Signature..................................... Date...../......./........ Place.................... Time.......:........

Address.............................................................................................................................

.......................................................................................... Postcode...............................

Phone: Home.............................. Business............................... e-mail.............................

Thank you. Please return to:

Andrew Foss, 18627 68 Ave, Edmonton, AB, T5T 2M8. Tel. 1-780-486-0765.