FORM FOR BIRTH PARTICULARS

1	NAME & SEX
1.a	PLACE OF PRESENT STAY AND ADDRESS.
2	DATE OF BIRTH
3	TIME OF BIRTH IN AIR TIMING PATTERN *
4	Place of birth (Separately) #
5	QUALIFICATION:
6	MARITAL STATUS:
7	PROFESSION/BUSINESS: WHAT PROFESSION/BUSINESS:
8	CHILDREN:	MALE (     ) FEMALE (    )
9	PARENTS:(alive)             CO-BORNS:        (in order of seniority & sex)
10	PARENTS IN-LAW (if married – alive)

• (In case of foreign birth, time may be given as Standard time at birth at that place in that country (if possible additional information like Summer Time, Day light Saving time, Eastern time, Pacific time etc.).  Conversion to IST shall be done at our end.  Suppose the time of birth is between 0001(minute) to around 0300 am, then please give the date of birth as example: 12/13^th April 1994: 29/30^th November 1977: 20^th Nov./1^st Dec. Jan 1988 etc.  This may confirm the date of birth).

# Also if a small place pl give nearest Town, State, Country.

(Please use additional pages if required for more details.)

 

SPECIFIC QUESTIONS TO BE ANALYSED IN THE FOLLOWING HEADLINES:

 1.   EDUCATION:

2.   CAREER/BUSINESS

3.       MARRIAGE AND MARITAL LIFE 

4.       FINANCE

5.       ASSETS, VEHICULR COMFORTS 

6.       RELATIONSHIP WITH PARENTS

 7.       RELATIONSHIP WITH CO-BORNS

 8.       HEALTH

 9.       CHILDREN

 

Any specific details regarding any incident or health aspect may please be mentioned in strict confidence.

REMEDIAL MEASURE SHALL BE FOR A PART OF THE ANALYSIS WHEREVER NECESSARY