Online Booking Form

Type of Pooja

For Ghee prasadam

Name of the Husband:

Details of the persons:

Name of the wife:

Husband Star:

wife Star:

Husband Rasi:

wife Rasi:

Husband Gothram (if any):

wife Gothram (if any): :

Husband Date of Birth:

wife Rasi Date of Birth:

For oil, Punugu, Kattalai, prasadam

Details of the person:

Name

Star

Rasi

Gothram

Date of birth

Phone number (resi):

Details of the person:

Address

Mobile number *

Your Email (required) *

Payment details

Name of the Account holder

Amount transferred:

Date of Transaction

Name of the Bank from which transferred:

Branch

Transaction id:

Is the scanned copy or print screen enclosed:

For cheque/ Demand draft transactions:

Number of the DD/chq/:

Date

Amount

Name of the Bank:

Branch

For cheque/ Demand draft transactions:

Number of the EMO:

Date

Amount

Location of the Post office: