Geomancy.Net – International Home Audit Consultation Form v2.0

Please provide the following required information. E-mail to .

Total Pages (if fax): /
______
Contact Person: /
______
Contact Number: /
______(HP) ______(Tel)
E-mail Address: /
______
Urgency of Work: /
[ ] Normal within 7-14 working days
[ ] Urgent within 7 working days
(Extra service fee will be chargeable if not paid during order)
Comments: / ______
______
______
______
______
______
______
______
______
______
______
______
______
Full Name / Gender / Date of Birth / Calendar
1st Profile please put the details for the breadwinner
1.
/
______
______
/
[ ] M
[ ] F /
______/ ______/ ______
(day) (month) (year)
Hour of Birth: ______
If unknown, please fill N/A. /
[ ] English /
Gregorian /
Western
[ ] Chinese Lunar
Indicate if you have given English or Chinese Lunar Calendar.
Other family members details goes here
2.
/
______
______
/
[ ] M
[ ] F /
______/ ______/ ______
(day) (month) (year)
Hour of Birth: ______
/
[ ] English /
Gregorian
[ ] Chinese Lunar
3.
/
______
______
/
[ ] M
[ ] F /
______/ ______/ ______
(day) (month) (year)
Hour of Birth: ______
/
[ ] English /
Gregorian
[ ] Chinese Lunar
4.
/
______
______
/
[ ] M
[ ] F /
______/ ______/ ______
(day) (month) (year)
Hour of Birth: ______/
[ ] English /
Gregorian
[ ] Chinese Lunar
5.
/
______
______
/
[ ] M
[ ] F /
______/ ______/ ______
(day) (month) (year)
Hour of Birth: ______/
[ ] English /
Gregorian
[ ] Chinese Lunar
6.
/
______
______
/
[ ] M
[ ] F /
______/ ______/ ______
(day) (month) (year)
Hour of Birth: ______/
[ ] English /
Gregorian
[ ] Chinese Lunar
7.
/
______
______
/
[ ] M
[ ] F /
______/ ______/ ______
(day) (month) (year)
Hour of Birth: ______/
[ ] English /
Gregorian
[ ] Chinese Lunar
House Information
Unit No:
/
______Necessary for Apartments
Address: /
______
______
Year House was Built: / ______YEAR
Past Renovation Details:
/
Please provide details of the year the renovation and list the details (ie hacking of walls, floor tiles changes, roof repair etc. This information is necessary to see if there are any change in period.
______
______
______
______
Future Renovation Details:
/
If you are planning a major renovation for the existing home. Which year you plan to do this. This information is necessary to see if there will be any future change in period.
______
Main Door Direction: /
Please provide details of main door direction. Use a compass to take a reading of the main door direction.
______Compass Degree
NOTE: Reading should be taken from standing at main door looking outwards
Facing Direction: /
Use a compass to take a reading of the facing direction of the house. This is especially for houses where the main door is different from the main door direction due to unique door entry or garage door entry etc.
______Compass Degree
NOTE: Reading should be taken standing at the front of your home looking outwards.
Checklist of other documents

Checklist of other documents required


[ ] Interior Layout Plan of house (house itself)

[ ] North 0 degree direction must be clearly marked on all layout plan


[ ] Main Door should be clearly indicated


[ ] Facing Direction of the house should be indicated (if different from main door)


[ ] Location of room (ie master bedroom, kitchen, son’s bedroom etc)

[ ] Existing furniture that you have (ie bed, desk etc)


[ ] Exterior Layout Plan of the house (house including the garden, garage of your plot of land)

[ ] North 0 degree direction must be clearly marked on all layout plan

[ ] Indicate like your garden, garage, driveway etc

[ ] Map View (ie street directory view of the home location)

[ ] North 0 degree direction must be clearly marked on all layout plan

[ ] Mark where your house is located in the map.

[ ] OPTIONAL Photos of any areas you want to have a look at.

[ ] Any Interior proposed layout to review (ie proposals by Interior Designer)

[ ] List Details of any thing you like us to look at (write it down at the field below)

______

______

______

______

______

______

______

Page 4/4