PROBLEM SOLVING  FORM


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  Name   
  Email   
  Gender      Male         Female 
  Marital Status    Married   Unmarried 
           
Divorced  Widowed
  Date of Birth                                                      
  Time of Birth                                                       
  Country of Birth   
  City of Birth   
  State of Birth   
  Country presently living in    
  City presently living in    
  Profession   
  Mother's Name   
  Father's Name   
  Sisters   
  Brothers   
  Spouse's Name   
  Spouse's Date of Birth                  
  Spouse's Time of Birth                    
  Spouse's Country of Birth   
  Spouse's City of Birth   
  Spouse's State of Birth    
  Some Important Event    
  Date of this Event    
  Specific Problem for which
  Solution is required
  
  Birth Signs on the Body
 
(if any)
  
 
                                                        

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