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Nadi Form (Note: * Fields are compulsary) Download Form Help ?

Your Payment Reference No* (Payment Transaction Number)
Name given at BIRTH *
Name at PRESENT *
Sex *	Male Female
Email Address *
Mailing Address
Birth Place
Country *
State *
City *
Date of Birth * (day-month-year)
Time Of Birth *
Mother's Name (in Full) *
Is your mother still Alive *	Yes No
How many times was your Mother married *
Your Mother work status *
Does your mother live with you? *	Yes No
Father's name (in Full) *
Is your Father still alive *	Yes No
How many times was your Father married *
Does your Father live with you? *	Yes No
Your father work Status *
Were you Born as twins	Yes No
Are you Handicapped *	Yes No
Were you Adopted *	Yes No
If so, give Parents names if you know
Do You Have Brothers/ Sisters	Yes No
	brothers	Sisters
No of elder Brother/ Sister *
No of younger Brother/ Sister *
No of married Brother/ Sister*
Your relationship with siblings.	Good Bad Normal
Are you still unmarried, married, divorced or widowed? *	Unmarried Married Divorced Widowed
Was your marriage *	Love Arranged Intercast
Date of marriage/s (day-month-year)
Name of wife/husband (in full) *
Age of husband/wife
Is your wife/husband still alive? *	Yes No
What is the relationship with your life-partner? *	Good Bad Normal
Do you have children?	Yes No
Number of Sons/Daughters*	Sons	Daughters

Have your children left school? If so, give details of education attained
If unmarried do you intend, or want to be married*	Yes No
Your Education Qualifications *
Are you or any one from your from family is suffering from any health problem? If so, give details
Do you have any debts or loans due? If so, give details *
Are you involved in any court case? If so, give details *
If doing business, give details of your business at present? *
If Job holder Private or Government? *	Private Government
Your Job Status? *	good bad average

Give up to three specific questions that you are interested in knowing from this nadi reading?
Note: You must give your two thumb impression in one white unlined paper properly and scan it and save it as JPEG or GIF format and attach.
Attach Thumb Impression Male-Right Thumb / Female-Left Thumb *