Kindly fill in the following form with as much information you can provide us.
















    Please Note:

    1. Uploading your face picture is mandatory for absent healing.
    2. Please upload only relevant documents related to your ailment.
    3. Our healing services are chargeable.
    4. Following is our account information:
    5. Bank Name –
    6. Account No –
    7. Name on the account –
    8. IFSC Code –
    9. Please keep handy the transaction reference number once your payment is done successfully.
    10. After you submit your information, one of our representatives will get in touch with you to confirm your application and discuss with you regarding the program.
    11. Should you have any questions, please call us at +91 95000 65550 | 044 4550 0881