Personal Forecast

The Fees for Match Making is 10 U.S. Dollar or 500 Indian Rupee . To continue please fill in the following form. Pay to my bank account. The bank details will be emailed to you.

( Bengali,English,Hindi & any other language Also Available ).
All Style Also Available.

First Name :
Middle Name :
Last Name :
Date Of Birth :
Sex :
Time Of Birth : : :
City Of Birth :
State of Birth :
Country of Birth :
Tele number (Local code) :
Email :

Payment Details:

Method : Cash   Cheque   Demand Draft
Note: Cheque or Demand Draft should be drawn in favour of "Vivekananda Roy".
Cheque/Draft No :
(please type N/A for cash)
Cheque/Draft Date :
(for cash please enter payment date & place)