Registration Form with Payment

Registration Form

Please fill out your details and complete the payment before submitting.

Important Instructions

Before submitting your registration, please make sure that you have completed your payment through the QR code provided below. Once the payment is done, tick the confirmation box and proceed with the submission.

Enter Your Full Name *

Enter Your Gotram *

Date of Birth *

Time of Birth *

Hours

Minutes

AM/PM

Birth Place *

Occupation *

Email Address *

Phone Number *0 / 10

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country *

Complete Your Payment

Click or Scan the QR code to pay ₹3000/- with any UPI app.
After payment, tick the box below.

I have completed the payment of ₹3000/-