abhay@jyotishvedh.com

9423311166

Application form

Application Form

Name
Photograph
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Father’s/Husband’s Name
Gender

Male

Female

Birth Date
Birth Time
Birth State
Birth Place
Birth District
Permanent Address
Correspondence Address
E-mail
Tel.No. (Std Code)
Educational Qualification
Astrological Qualification with name of institute and year (if any)
Vastu Shastra Qualification (if any)

This is to confirm that I wish to enroll myself for the VASTU course and understood the terms and conditions of Institute. I hearby declare that above information is true to the best of my knowledge.