Elementor #4418

Step 1

Fill The Form

test Payment form

First Name

Last Name

Step 2

Pay Now

Click here

Privacy Policy
Terms & Conditions
Contact Us

GST no.: 27ABXPH7587H1ZR
HSN: 9997
Place of Supply: Maharashtra

Designed & Developed by HTPristine.

Typically replies within a day

Hey, Do you want to talk with us?

Name *

First

Last

Birth Certificate Name * *

Birth Name

Date of Birth *

Name *

First

Last

Birth Certificate Name *

Email *

Confirm Email

Address

Address Line 2

Is feeling despair,

City

State / Province / Region

ZIP / Postal Code

Country

What is you timezone? *

Date of Birth *

How would you describe your current emotional state? Are you feeling stressed, anxious, unhappy, angry etc. *

What are your current stresses? Is there a particular stress, trauma or emotion that feels overwhelming right now? *

Your environment - Please describe your present home and family environment. *

Your occupation - Please describe your main occupation. Are you happy in it? *

EQ (Emotional Intelligence) - How well can you feel the full range of human emotions e.g. fear, anger, despair, grief, anguish, terror, guilt, shame, hopelessness, rejection, abandonment, mistrust, unworthiness etc. *

services

<div class="bpa-front-module-heading">Summary</div>
<p>Your appointment booking summary - $70 USD for International clients. The details are as below:

Account Holder Name : SHRUTI SUDHIR HADAVALE
Account number : 300004000008695
IFSC Code : SVCB0000037
Account Type: CURRENT 
Bank: SVC bank
Bank location: BHANDUP </p>