Mahamaya Soul Healing Academy

Appointment Registration Form

Transforming Lives Through Deep Soul Healing

HIG-101, Kanan Vihar, Phase-I, Patia, Bhubaneswar – 751031

Book Your Session

Appointment Registration

Confidential

01 Personal Details

Name *

Age *

Profession

Address *

Mobile No. *

02 Session Registration

Select the session you wish to register for.

Past Life Regression (PLR)Guided regression session with the Academy. Past Life Regression with Astrological PredictionPLR session combined with astrological prediction.

03 Booking Details

Booking Advance Amount Paid (₹)

₹

Date of Booking *

Appointment Date *

Appointment Time *

04 Declaration

I confirm that the above information provided by me is correct and that I have voluntarily registered for the selected session.

Signature of Client / Full Name *

Date *

05 For Office Use Only

To be completed by Mahamaya Soul Healing Academy

Registration No.

Session Conducted By

Remarks

Authorized Signature

Mahamaya Soul Healing AcademyHEAL THE PAST. EMPOWER THE PRESENT. TRANSFORM YOUR FUTURE.