Vidyavaridhi Jyothish birth time rectification consultation form

1) I respect your privacy and needless to mention all the information you share with me will be treated confidentially. If you are wondering why I need this information, please read the below articles to understand the complexity of astrology:

Parameters that complicate astrologyParameters that complicate astrology - 2Parameters that complicate astrology - 3Parameters that complicate astrology - 4

2) In many ways, an astrologer is like a doctor. A physician can only heal you on a physical level with medicine. But an astrologer can help you heal from not only the physical pains of life but also the emotional, mental and spiritual diseases of life. So I request you to be very specific and clear with the events just as you would be when you visit a doctor at a hospital.

3) I would need at least three specific dates to double-check the accuracy of your birth time when your birth time accuracy on a scale of (1-10) is in the range of 7-10 points. When the birth time is unknown or the birth time accuracy on a scale of (1-10) is between 1-6 points, I require at least ten events (to exact date) to verify the accuracy of your birth time. In either case, if you have more events it is always useful. If birth time is unknown or greater than 30 min window, then many details and events as mentioned in this form are essential to accurately rectify the birth chart.

3) If your birth time accuracy is offset by more than 2-3 minutes then I recommend you get a birth time rectification, if you want me to predict events of the future. If you still want me to predict the future events without having an accurate birth time, I will give you a window of time and not take any responsibility for the prediction.

4) If you are looking for just psychological counseling or personality analysis (which means no predictive astrology) then you don’t have to worry about birth time accuracy error of 2-3 mins. In case your birth time error is beyond 15 mins and you can’t afford a birth time rectification, I would advise you get my Nakshatras and Moon reading to understand the make-up of your chart along with the Character astrology readings and card readings .

5) As you will see by the end of filling this detailed form, that it takes few hours to complete the process. Please be aware that it atleast takes five times more effort to verify all the events you supply me using your birth details. Therefore, I request your patience throughout the process.

6) Please read the terms and conditions carefully and accept them before booking the reading.

Please fill in the below details. You may ignore the questions that are not relevant to you.

Name at birthHeight (Feet and inches)GenderSexual orientationDate of birth (*in words)Example: 21 July 1988Time of birth (24-hr format) (Hr:Min:Sec)Example: 18:46City of birthState/county of birthCountry of birthLatitude (if known) Example: 12N59’00Longitude (if known) Example: 77E57’00Time zone (if known) Example: CET -1:00 HrDaylight saving time (if applicable)Relationship status(Single/Married/Divorced/Multiple marriages/Been in relationship, but never married/Never been in a relationship)Number of children and gender(If you have had any miscarriages, please statethat too in the order of birth with dates)Your profession(In case you currently or in the past have been working in different professions, please stateall of them along with dates if known)Accuracy of birth data on scale of 1-101 is lowest accuracy; 10 is very high accuracyName changes if any with date:**What is the source of your birth data?

***What type of reading are you looking for?(Refer to my website for my services)What is the main area or topic of concernyou would like me to address in this reading?Religion or faith to describe remedies?Would you be interested in using gemstones?What kind of diet habits do you have?(Eat anything/Meat eater/Vegetarian/Vegan)If you have made changes to food habits andknow the dates state them explicitly.Are you allergic to any foods?Do you meditate or have any spiritual habits?Which areas of your life do you think areextremely hard for you to balance?If you were to pick only one area of life, that

has brought you the most difficult lessons,which would that be?Which area of life do you think you have beenlucky?Your health issues or diseases(Here you specify the parts of body thatconstantly cause problems or injuries orsurgeries or skin allergies etc. If there aremultiple issues to different parts or organsin the body, please mention all of them)

In case you have mental or emotional issues,please mention that here. If you feel experiencecrisis or feel spiritually weak, mention that here.Ex: Depression, existential crisis etc.

Are your parents together or divorced?(Specify the date of separation if known)Date of birth of father (*in words)Example: 21 July 1988Time of birth of father (24-hr format)(Hr:Min:Sec) Example: 18:46City of birth of fatherState/county of birth of fatherCountry of birth of fatherProfession of fatherIn case he has been working in differentprofessions, please state all of them.Do you have good or bad or neutral relationshipwith your father?(Here you may specify the nature or qualityof the relationship)For example: Father leaves the family at youngage etc.Health issues or diseases of father(Here you specify the parts of body thatconstantly cause problems or injuries orsurgeries)If you have the dates of these events pleasemention them.Other important or unique qualities of fatheryou think would be useful for the rectificationof your chart

Date of birth of mother (*in words)

Example: 21 July 1988Time of birth of mother (24-hr format)(Hr:Min:Sec) Example: 18:46City of birth of motherState/county of birth of motherCountry of birth of motherProfession of motherIn case she has been working in differentprofessions, please state all of them.Do you have good or bad or neutral relationshipwith your mother?(Here you may specify the nature or qualityof the relationship)For example: Mother has been strict inchildhood or was depressed all the time etc.Health issues or diseases of mother(Here you specify the parts of body thatconstantly cause problems or injuries orsurgeries)If you have the dates of these events pleasemention them.Other important or unique qualities of motheryou think would be useful for the rectificationof your chart

Number of siblings and genderDate of birth of siblings (younger & older)(*in words) Example: 21 July 1988Time of birth of sibling (24-hr format)(Hr:Min:Sec) Example: 18:46City of birth of siblingState/county of birth of siblingCountry of birth of siblingProfession of siblingsIn case they have been working in differentprofessions, please state all of them.(Also if you have multiple siblings,state their data and professions separately)Do you have good or bad or neutral relationshipwith your siblings?(Here you may specify the nature or qualityof the relationship)For example: Sibling leaves the family at youngage etc. causing pain and separation.Health issues or diseases of siblings(Here you specify the parts of body thatconstantly cause problems or injuries orsurgeries)

If you have the dates of these events pleasemention them.Other important or unique qualities of siblingsyou think would be useful for the rectificationof your chart

Date of birth of spouse/partner (*in words)Example: 21 July 1988Time of birth of spouse/partner (24-hr format)(Hr:Min:Sec)City of birth of spouse/partnerState/county of birth of spouse/partnerCountry of birth of spouse/partnerProfession of spouse/partnersIn case they have been working in differentprofessions, please state all of them.(Also if you have been in multiple relationships,state their data and professions separately)Health issues or diseases of spouse/partners(Here you specify the parts of body thatconstantly cause problems or injuries orsurgeries)If you have the dates of these events pleasemention them.Other important or unique qualities of spouse/partner you think would be useful for therectification of your chart

* I have noticed that different parts of the world have different formats for dates. To avoid confusion and also to prevent erroneous readings, I recommend the client to fill their date of birth in words.

**Ideally you should just read this off your birth certificate or a document you were handed in at the hospital when you were born. This is very important that you give me an accurate data so I can give you precise information.

***I offer many different classes of readings each concentrating on specific portion of the chart/life. Please go through them on my website.

a) If you would like to avail the prashna reading then you don’t need a birth time rectification and don’t to fill this consultation form. Instead you can contact me directly but mention the query in the ‘subject field’ of the contact form.

b) If you would like to book another reading after the birth time rectification is done, you may book that reading along with the rectification reading. I will do the reading after rectifying your birth chart. I prefer to do the reading immediately after the rectification

because I would be tuned into your chart and I will have good knowledge of the placement of houses and planets.

--------------------------------------------------------------------------------------------------------Primary questions to check the accuracy of your birth data

Please, reflect back on the events of your life and briefly state the major events at the below age in one or two sentences. Please ignore the future years that are not relevant to you.

For example: You may have fallen in love for the first time at the age of 16/25, bought your first car at the age of 25, had an accident at the age of 27, bought a house at age 48 and so on... If there are multiple events both good and bad, please state them very clearly.

Age Event15162021232425

26

27

28

31

32

35

36

41

42

45

47

48

Specific questions to accurately fine-tune your birth time

I will use the information of already transpired events in your life to check the accuracy of your birth time. Look back on the past events of your life and fill the below table. Events that had extreme influence on you (either good or bad) are very useful. The more unique events you can list, the easier it is to rectify or verify the birth time. The more detailed and specific the event, the easier my job and accurate your rectified birth time.

Please fill the below table with exact dates of events. Don’t fill this table with events if you don’t know the exact dates. Please ignore the questions that are not relevant to you. Please don’t adjust the column widths as it may garble the data. If you still think that an event with exact date is useful, add that to the additional information section at the very end of this document.

#0 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Type of events

Example event

INTERNATIONAL MOVES

• June 26th, 1981: Arrived in New ZealandWe left China and spent some time in Thailandbefore getting to New Zealand. Arrived at 18:24.

• March 16th, 1999 : Moved to Delhi, Indiafrom USAIt was a flight journey with family. Arrived at 14:22.

#1 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Do you have any dates of falling ill/surgeries? Simple flu to any other short term or chronic illness will also work? In the case of accidents or sports injuries, please mention the body part as well. Do you have tendency to put on weight? If you have scars/burns in any parts of thebody, please mention that.

Tip: Check your hospital records forthese dates.

HEALTH

#2 Date of the event WEALTH AND FORTUNES

(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you mention dates of receivinga large sum of money compared toyour income. This money can be inthe form of gift or award oreven scholarship. If you own abusiness, please track back yourrecords and mention dates ofearning more money than average.If you have received a healthy sumof money from parents, friends orspouse as gift, include those dates.If you have cleared a longstanding loan or debt, include thosedates. If you have received a inheritancefrom parents or grandparents includethose dates.

Tip: Check your bank statements fordates related to money.

#3 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you mention the dates of yourtravels within your country of birthor residence. Here you may alsoinclude the dates of starting to learna new skill or joining classes etc.If you are a person with multipletalents (writing, programmer, actoretc), please mention those skillsand start dates. Only state skills youuse in mundane life (not interests). Youcan also mention dates of gettingcertification as well as licenses.

Events such as trips with siblings,

SHORT DISTANCE JOURNEYS AND SKILLS

accidents to siblings, marriage of sibling,(good and bad events in life of siblings)can also be entered here.

If you are an athlete include the dates ofparticipation in sports events with theresults such as loss/win.

Tip: Check the dates on certificates fordates related to skills. Check your emailsfor tickets booked to make journeys.

#4 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you mention the dates ofpurchasing a vehicle (cycle, car,motor bike etc. ). State whether itwas leased or new or second-handvehicle. Also state the color of thevehicle. If it is normal or luxuryvehicle, you may mention that aswell.

Tip: Check the date of registering thecar. Check your bank statements/loansfor other purchases.

VEHICLES

#5 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you mention the dates ofpurchasing a property (plot of landor house etc. ). State whether itwas new or old property. If it isnormal or luxury property, you maymention that as well. Whether it wasstone or brick or glass or woodhouse? is useful to know too.

PROPERTY

Tip: Check the date of registering theproperty. Check your bank statements/loans for other purchases.

#6 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you mention the dates ofleaving home country permanently,dates of travel to foreign places forvacations or conferences or meetingor certifications or work etc. Includethe start and end dates of the trips.You can also mention dates of getting permanent settlement such as greencard etc. and dates of getting citizenship.

Tip: Check your emails for ticketsbooked to make foreign journeys or appointments for green cardinterview etc.

INTERNATIONAL MOVES/ TRAVELS

#7 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you mention the dates ofconceiving a child (if known),dates of miscarriages or abortions,dates of child birth, gender of thechild, profession of children,whether children are in foreigncountry? Any other special attributesuch as diseases or qualities orunique things about your childrenthat you think will be useful forrectifying your chart.

Tip: Check your hospital records for

CHILDREN

these dates.

#8 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you mention the dates of beinginitiated to a spiritual practice,mantra recitation or meeting a guruor teacher etc. Dates of experiencingheightened levels of spiritual energyor sudden awakening, unique events in spiritual/religious places or ashram life.If you traveled to a foreign place or takena trip within the country to meet a Guruor pilgrimage or learn yoga, includethem here. Please specify if your teacheris from foreign country or own country.

Tip: Check your emails for ticketsbooked to make these journeys.

SPIRITUAL PRACTICE/ GURU

#9 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you mention the dates of eventsrelated to any court cases (divorce,vehicular incident, property litigation,work related etc.). You may alsoinclude dates of relationship break-upwith partners, friends, siblings, bosses etcAlso dates of availing a loan or debtsfrom bank, its purpose etc. can beentered.

COURT CASES/ DEBTS/ LITIGATION

#10 Date of the event(in words)

Time of the event(24-hr format)

LUXURY ITEMS

(If known)(Hr:Min:Sec)

Here you include the dates of purchasinga luxury item for self or your home suchas art, furniture, expensive television orcamera, jewelry, luxury watch etc.Only include purchases made by you.

Tip: Check your bank statements/loans for these purchases.

#11 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you include the dates ofdeath of immediate family membersand any other important people such as teachers/gurus, friends in your life.You can include death of grandparentsbut don’t include the death of any farrelatives.

Please specify the mode of death orreason of death.

DEATHS

#12 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you include the dates of lifethreatening or near death events such as earthquakes, drowning, abuse of any sort (sexual or physical or being cheated in relationship or cheated financially bypeople).If you have broken the law and beenjailed or warned by cops, please includethem here.

Also include the dates of events

LOSSES/ STRANGE EVENTS AND OCCULT

when you have received any moneyfrom your spouse and his/her familyafter marriage in the form of gift.You can include the startdates of practices such as astrology orany other art deemed taboo by thesociety. Also mention if astrology is aninterest or hobby or practice.Any dates when you may haveexperienced loses or gains on account ofstock market trading or gambling orbusiness can be included here. Anyevents where you received money orlost money unexpectedly has to beincluded here. Please include anyaddictions that you may have (food, sex,drugs, alcohol, gambling etc. )Please mention any of your weaknesseshere.

#13 Date of the event(in words)

Time of the event(24-hr format)(If known)(Hr:Min:Sec)

Here you include dates of events such asstart of new job, promotions, demotions,fall in career, loss of job, quitting a job,fired from work and reason, getting atitle such as PhD or CEO etc. For self employed people, you can include datesof start of new business, end of business deals etc. closing of a business etc. Here youcan also include dates of getting awardsor recognition on account of your worksuch as public recognition onsocial media platforms etc.

In case you currently or in the past havebeen working in different professions,please state start/end dates of all ofthem.

PROFESSION/ RECOGNITION/ STATUS/ FALL

#14 Date of the event(in words)

Time of the event

MARRIAGE/ MEETING

(24-hr format)(If known)(Hr:Min:Sec)

Here you include the dates ofmeeting a partner/spouse, dates ofengagement, dates of moving intogether, dates of engaging in sex forthe first time (if known), dates ofmarriage, nature of spouse/partner(foreign or own country or relative etc)place or venue or nature or medium ofmeeting your partner/spouse.(Example: Online dating, met through afriend, met in college etc.)Physical build, structure and qualities ofyour spouse/partners that you like.If you have not been in a relationship yet,please state what sort of qualities youare looking for in a potential spouse?(please be very specific and clear)

If you have been in multiple-marriagesor relationships, include all of them.

Other useful information: (Here you can specify any other important things that I should keep in mind before I begin the rectification process)

Please make sure to attest your most recent photograph here. I need two photos,

a) Full picture from head to feet

If your are older than 35 years of age,then I would also need your photographduring the years 25-30, of prime youth.

Attach first photo here:

b) Close up portrait picture ofyour face

Attach second photo here:

Please complete this form and save it in the same format. Rename the document with ‘your full name’. Once you have made the wire transfer payment, go to the contact me page on my website and send this file as an attachment along with other relevant information. After, I receive your email and the payment clears, I will start my work on your chart.