Create Customer Japas

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Name

Gender

Male Female

Date Of Birth

Time Of Birth

Country*

State*

City*

Phone*

( With country code )

Nakshatram*

Gotram*

Name

Date Of Birth

Time Of Birth

Birth Country*

Birth State*

Birth City*

Nakshatram*

Others

Note: Special Character : ex : # % $ ( ) will not accept in address

Address*

Zip*

Amount (for Non Resident Indians)

(Including Shipping Charges)

Pay Through Paypal

Amount (for Resident Indians)

(Including Shipping Charges)

Pay through Paytm

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