USA0208

7. Major journeys abroad: Departure: Return:

Day/Month/Year Day/Month/Year
Departure: Return:

8. Major losses: Item: Date:

Day/Month/Year
Item: Date:

9. Major gains: Item: Date:

Item: Date:
10. Mark the sequence of births in your family.
Please cross B for brother or S for sister

B B B B B B B B B B B B B B
Person
elder siblings younger siblings
himself
S S S S S S S S S S S S S S

Birth dates of younger brothers/sisters (not elder):

a) B S b) B S c) B S

d) B S e) B S f) B S
Day/Month/Year Day/Month/Year Day/Month/Year
11. Highest educational degree:
Subject: Date:
Day/Month/Year
Break in education: From: To:

From: To:

12. Profession: Present occupation:

Previous change of occupation:
Type of occupation: Starting date:
Type of occupation: Starting date:
Day/Month/Year
For a reliable rectification of your birth time, at least five to eight major events in your life with exact date
(very important) are required. If necessary please add any further events, e.g. change of residence, great
fortunes, outstanding achievements or major transformations in your life:
Date:
Day/Month/Year
Date:
Date:
Date:
Date:

Date: Place: Signature:

Day/Month/Year
© Copyright 2002 by MVED jybrect.pm5 - 0208
 MAHARISHI JYOTISHSM AND MAHARISHI YAGYASM PROGRAMS
ASCERTAINING CORRECT BIRTH TIME
APPENDIX TO COMPREHENSIVE LIFE KUNDALI APPLICATIONS
For legibility, please type. All information will be kept confidential
Mr / Mrs / Ms
(Circle one) First name Approximate birth time: Family name
Birth date:
Day/Month/Year Hours Minutes
Birth time is later than: Hours: Minutes: and earlier than: Hours: Minutes:
Birth place:
City Country

1. Date of TM instruction: (if applicable)

Day/Month/Year
2. Date of becoming TM programTeacher: (if applicable)

3. Major illnesses, hospitalizations, surgeries, accidents: Specify the part of the body diseased or injured and the cause, like
diabetes or car accident etc.

a) from: to:
Day/Month/Year Day/Month/Year
b) from: to:

c) from: to:

d) from: to:

4. Did any close relative pass away?

Father: Yes No Cause: Date:
Mother: Yes No Cause: Date:
Yes No Cause: Date:
Yes No Cause: Date:
Day/Month/Year
5. Marriage date: Divorce date:
Day/Month/Year Day/Month/Year

6. Number of sons: Number of daughters:

Son Daughter Child’s birth date:

Day/Month/Year
Son Daughter

Son Daughter

Son Daughter

Son Daughter

For office use only

Rectified birth time:
Hours Minutes Seconds

by Maharishi Jyotish program expert: Code Nr.: Date:

® Transcendental Meditation, Maharishi Jyotish, Maharishi Vedic Astrology and Maharishi Yagya are trademarks licensed to Maharishi Vedic Education Development Corporation and used under sublicense or with
permission. jybrect.pm5 0208
USA0208

7. Major journeys abroad: Departure: Return:

Day/Month/Year Day/Month/Year
Departure: Return:

8. Major losses: Item: Date:

Day/Month/Year
Item: Date:

9. Major gains: Item: Date:

Item: Date:
10. Mark the sequence of births in your family.
Please cross B for brother or S for sister

B B B B B B B B B B B B B B
Person
elder siblings younger siblings
himself
S S S S S S S S S S S S S S

Birth dates of younger brothers/sisters (not elder):

a) B S b) B S c) B S

d) B S e) B S f) B S
Day/Month/Year Day/Month/Year Day/Month/Year
11. Highest educational degree:
Subject: Date:
Day/Month/Year
Break in education: From: To:

From: To:

12. Profession: Present occupation:

Previous change of occupation:
Type of occupation: Starting date:
Type of occupation: Starting date:
Day/Month/Year
For a reliable rectification of your birth time, at least five to eight major events in your life with exact date
(very important) are required. If necessary please add any further events, e.g. change of residence, great
fortunes, outstanding achievements or major transformations in your life:
Date:
Day/Month/Year
Date:
Date:
Date:
Date:

Date: Place: Signature:

Day/Month/Year
© Copyright 2002 by MVED jybrect.pm5 - 0208
 MAHARISHI JYOTISHSM AND MAHARISHI YAGYASM PROGRAMS
ASCERTAINING CORRECT BIRTH TIME
APPENDIX TO COMPREHENSIVE LIFE KUNDALI APPLICATIONS
For legibility, please type. All information will be kept confidential
Mr / Mrs / Ms
(Circle one) First name Approximate birth time: Family name
Birth date:
Day/Month/Year Hours Minutes
Birth time is later than: Hours: Minutes: and earlier than: Hours: Minutes:
Birth place:
City Country

1. Date of TM instruction: (if applicable)

Day/Month/Year
2. Date of becoming TM programTeacher: (if applicable)

3. Major illnesses, hospitalizations, surgeries, accidents: Specify the part of the body diseased or injured and the cause, like
diabetes or car accident etc.

a) from: to:
Day/Month/Year Day/Month/Year
b) from: to:

c) from: to:

d) from: to:

4. Did any close relative pass away?

Father: Yes No Cause: Date:
Mother: Yes No Cause: Date:
Yes No Cause: Date:
Yes No Cause: Date:
Day/Month/Year
5. Marriage date: Divorce date:
Day/Month/Year Day/Month/Year

6. Number of sons: Number of daughters:

Son Daughter Child’s birth date:

Day/Month/Year
Son Daughter

Son Daughter

Son Daughter

Son Daughter

For office use only

Rectified birth time:
Hours Minutes Seconds

by Maharishi Jyotish program expert: Code Nr.: Date:

® Transcendental Meditation, Maharishi Jyotish, Maharishi Vedic Astrology and Maharishi Yagya are trademarks licensed to Maharishi Vedic Education Development Corporation and used under sublicense or with
permission. jybrect.pm5 0208