BRAHMANANDA SARASWATI JYOTISH FOUNDATION
Phone: +1 (312) 233-2889 • Fax: +1 (888) 496-8393 • Email: [email protected]
M A H A R I S H I J YO T I S H S E R V I C E S A P P L I C AT I O N F O R M
M A H A R I S H I YA G YA R E C O M M E N D AT I O N
PART 1: RECIPIENT INFORMATION
(Please provide information about the individual or organization.)
£ Mr. £ Mrs. £ Ms. First Name Family Name
The information below is for: £ Myself
£ Does not Practice TM
£ TM Practitioner
Recipient is in good health £ Yes
 Birthdate: £ Mother
Day £ Father
£ Sidha
£ Wife
£ Son
£ Daughter
£ Governor £ Other:
£ No If no, please explain:
Month Year
Fill in time per example:
 Exact Birth Time: Hours Minutes
Seconds
(if known)
8:45 PM = 2
0
4
5
Source of birth time information:
Mother, birth certificate, hospital, corrected birth time, etc.
 Accurate birth place: Please provide the current name of your birthplace.
In case the name has changed since your birth, please provide the former name also in brackets.
Town (birthplace) Population State/Province Country
 If birthplace is less than 10,000 population, fill in below:
Nearest town of 10,000 population:
Distance and direction of above town to birthplace:
£ I have already completed a Comprehensive Birth Chart
£ I have not already completed a Comprehensive Birth Chart
Please note that all information will be kept strictly confidential
by Brahmanananda Saraswati Jyotish Foundation
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BRAHMANANDA SARASWATI JYOTISH FOUNDATION
Phone: +1 (312) 233-2889 • Fax: +1 (888) 496-8393 • Email: [email protected]
M A H A R I S H I J YO T I S H S E R V I C E S A P P L I C AT I O N F O R M
M A H A R I S H I YA G YA R E C O M M E N D AT I O N
PART 2: MAHARISHI YAGYA RECOMMENDATION REQUEST
Maharishi Yagya Recipient:
First Name Family Name
I hereby request that Maharishi World Yagya Program suggest possible Maharishi Yagyas for my sponsorship based
upon my birthchart information as well as my interest in the following areas. Please mark up to 5 areas of life below.
For each area marked a Maharishi Yagya or a combination of Maharishi Yagyas will be recommended.
PART3: AREAS OF INTEREST (SELECT UP TO FIVE AREAS)
£ Peace of Mind
£ Good Memory
£ Comforts in Life
£ Perfect Health
£ Inner and Outer Fulfillment
£ Wealth
£ Prosperity and Fulfillment
£ Family Welfare
£ Harmony
£ General Happiness
£ Removal of Fear
£ Conveyances
£ Land and Building
£ Getting Children
£ Fortunate Development of Children
£ Removal of Negativity
£ Removal of Obstacles
£ Winning of Favor in Court Case
£ Finding a Suitable Spouse
£ Good Married Life
£ Fulfilling Relationship
£ Ease in Settling an Estate
£ Support for Inheritance
£ Fulfillment of Desires
£ Wisdom and Intelligence
£ Spiritual Progress
£ Total Knowledge of Vedic Science
£ Life in Tune with Natural Law
£ Good Luck
£ Progress and Success in Activity
£ Business
£ Favorable Planetary Influences
£ Seasonal Yagyas
£ Other Area:
£ Other Area:
PART 4: MAHARISHI YAGYAS YOU HAVE RECENTLY SPONSORED
Code/Category Date of Performance Purpose
Remarks:
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BRAHMANANDA SARASWATI JYOTISH FOUNDATION
Phone: +1 (312) 233-2889 • Fax: +1 (888) 496-8393 • Email: [email protected]
M A H A R I S H I J YO T I S H S E R V I C E S A P P L I C AT I O N F O R M
M A H A R I S H I YA G YA R E C O M M E N D AT I O N
PART 5: AGREEMENT
In placing this request, I understand that the analysis
of my birth chart comments only on the trends of the
future, according to the principles of Maharishi Jyotish,
and does not replace my own responsibility for making
decisions. Decision making is, and will always be, my
own responsibility. Due to legal reasons it has to be
mentioned that the organizer or coordinator of the
Maharishi Jyotish consultation, the Maharishi Jyotish
Pandit and any other organization involved disclaim
any responsibility for consequences resulting from any
actions I take based on the analysis of my birth chart. I
understand that electronic recording of the consultation
is not allowed, whereas I can freely make written notes.
I herewith certify that I have understood and answered
all questions in this Application for Maharishi Jyotish
Consultation truthfully and to my best knowledge. I
acknowledge that the geographical data required for the
processing of my birth data will be defined according to
the sources available to the Maharishi Jyotish Pandit or
persons or organizations involved in it.
Date: Place:
Signature:
Name of Guardian (if under 18 years old)
Signature of Guardian
Please return completed form by email: [email protected] or fax: +1 (888) 496-8393
Please note that all information will be kept strictly confidential by th
Brahmanananda Saraswati Jyotish Foundation
© Copyright 2015 Brahmananda Saraswati Jyotish Foundation, a non-profit educational organization. All rights
reserved. Transcendental Meditation®, TM®, Maharishi Jyotish®, Maharishi Vedic® and Raam Raj SM
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are all protected trademarks and used under license or with permission.