Your
Payment Reference No.*
:
NAME GIVEN
AT BIRTH (in full and in block letters).
NAME AT
PRESENT (if changed from marriage).
Sex
Male
Female
Email
Address
Mailing
Address
Birth
Place (Country/State/City/Hemisphere)
Country
State
City
Hemisphere
Date of
Birth(year-month-day)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
dd
1
2
3
4
5
6
7
8
9
10
11
12
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
yyyy
TIME OF
BIRTH
Were you
born as twins?
Yes
No
Are you
handicapped?
No
Were you
adopted?
No
If so,
give details of biological parent’s names if you
know them.
Mother's
name (in full)
Is your
mother still alive?
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
Number
of brothers and sisters. List them in order of birth
and state their gender and names.
Give details
of marriage status of brothers/sisters.
Your relationship
with siblings.
Are
you still unmarried, married, divorced or widowed?
Was your
marriage
Date of
marriage/s (day-month-year)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
dd
1
2
3
4
5
6
7
8
9
10
11
12
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
yyyy
Name of
wife/husband (in full)
Age of
husband/wife
Is your
wife/husband still alive?
Yes
No
If unmarried
do you intend, or want to be married
Yes
No
What is
the relationship with your life-partner?
Do you
have children?
Yes
No
If so,
list them in order of birth and state their gender
Have your
children left school? If so, give details of education
attained
Your Education
Qualifications
Are you
or any one from your from family is suffering from any
heath problem? If so, give details
Do you
have any debts or loans due? If so, give details
Are you
involved in any litigation? If so, give details
Do you
own any property, residential / investment
Is the
property fully owned or mortgaged with any bank, 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?
Give details
of Employment/ Business (work status)
Give up
to three specific questions that you are interested
in knowing from this nadi reading?
*Note:
The Thumb Impression must be a very clear scanned image
either .jpg or .gif format less than 200 KB.
Attach
Thumb Impression Male-Right Thumb / Female-Left Thumb
Details
of the Kandams (Chapters) applied
P.S
All the readings will be E-mailed in PDF format
within 7 working days from the date of Payment.
P.S.S
Please be informed that prior to Nadi reading
the "The Nadi Leaf" is to be identified there
are rare chances of "leaf" may not be found
at particular point of time. If no leaf is found
the paid amount is refunded after deducting
US $10 as administrative charges.
![[ Instructions On Thumbprint Scanning ]](IMAGES/CilckHere_Thumprint.jpg){kind=small}
