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Title (Corporate Analyses)

Phone

Fax

Address

Subject's Name(s):

Date of first contact with subject (when you first made contact, in person or otherwise)

Date of first interview (corporate analyses)

New Applicant [see upload field below]:

Current Employee Current Employee Promotion Self Other (explain below)

Please supply completed S.A. Petullo/Client release form and a copy of the subject's resume.

Other (from above)

Job title (corporate analyses)

Reports to (corporate analyses)

Description of Job Duties (corporate analyses) - see upload field below

Please supply completed S.A. Petullo Job Demands Checklist and a copy of the job description.

For those times when obtaining the subject's full birth data isn't possible. subject's month and day of birth.

Asterisked (*) information below necessary for comprehensive astrology/numerology analyses.

*Subject's full legal birth name (exactly as it is on the original birth certificate):

*Month, day, year, exact time and location of birth (state “approximate” if you don’t know exact time of birth, and how close you believe it is to the actual time of birth):

*Please list all birth data for other people involved, such as for a compatibility or group analysis (current name, full legal birth name, full date of birth, exact time, and location of birth):

*List the date and approximate time you first met the person in question (for compatibility analyses, etc.), or date and time you first had the idea, started the project, incorporated the business, signed the contract, etc:

Please state the key issues to be addressed, your related concerns, etc. (Compatibility? Motivations? Event Timing? Forecast?):

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Scott Petullo

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