Dear Devotee,

We request a minute of your time in filling this form while you are requesting a Puja to the temples on our site.

This data is used by the temple towards performing your Puja.

Devotees can perform on behalf of their family and friends.  

List of Pujas to be performed :

Puja Name

Amount (Rs.)

Pancha Prasar

151/-

Dasa Prasar

1051/-

Sorsa Prasar

3051/-

PUJA FORM:

Name of the Puja   Amount

Demand Draft No. Date Or

Cheque No. Date

Puja to be performed in the name of   

Date of Puja   

Time of the Puja desired   

Name Birth Star Gothra  

Name Birth Star Gothra  

Name Birth Star Gothra  

In case of more names, you may enter the same below separating each data with a comma.  

Special Requests: Indicate any request, reason for Puja if any, for specific purpose, occasions etc. 

 

Address where prasad is to be delivered 

Name  

Address  

City Pin Country  

Phone if any:     Email id:

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