Information Needed for
Your Indra Natal Report
Some information is necessary for the preparation of your Report. Please complete this form carefully and submit.

Your Name:

Your E-Mail Address:

E-Mail Address Where You Want Report Sent:
Same as above
Other E-Mail Address (Type in below):

Name of Person Report Is For:

Where was the person born?

State or Province:


Person's Date of Birth
Day: Year:

For this Report, the person's time of birth must be known within within about 15 minutes of accuracy. Please enter the person's birth time here:

AM or PM Birth? (Select) Midnight AM Noon PM

Please double-check to be sure:

Is/Are your e-mail address(es) typed correctly?

Did you indicate the person's complete Date and Time of Birth?