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Name
Email ID
Mobile Number
Birth Date and Time (DD/MM/YYYY:24:59H)
Place oF Birth
Reason for Appointment
Please Enter Three Events with expalination along date and time details to assist in correct time of birth
Event 1
Event 2
Event 3
Prefered Language for discussion:Tamil, English, Hindi etc.
Optional Payment Transaction Details
Payment Options
________________________________________________________________________________
Google Pay
GPay Phone Number : 7010185656
________________________________________________________________________________
Bank Tranfer
Name : Pothuvudaimoorthy
Bank Name : Axis Bank
Account No: 916010066703856
IFSC Code: UTIB0001124
Branch :Pattukkottai .
________________________________________________________________________________
PayPal
Pay via PayPal
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