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Detailed consultation (two specific areas)
* All information as asked is mandatory
* Please fill in correct information
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Email
*
Your email
Name
*
Your answer
Please provide Date of Birth (DD/MM/YYYY) and Time of Birth
*
This is needed to generate chart
MM
/
DD
/
YYYY
Time
:
AM
PM
Please provide Place of Birth
*
Your answer
Transaction ID (For payment made)
*
* This is needed to verify payment. This is must before a booking/consultation can be confirmed
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