Please find below details, for my cheque/demand draft in favour of Trinetra Society. (Form to be filled in block letters)

MY PERSONAL DETAILS : (for receiving a donation receipt) Mr. ............ Mrs. ............ Ms. ............

Name...............................................................................................................................................................................................................

Address............................................................................................................................................................................................................

City Postal code............................................................... State ......................................................................................................................

Date of Birth...................................................... Mobile ....................................................... PAN....................................................................

e-mail id.................................................................................................................................

DETAILS OF DONATION (Demand Draft should be payable at Delhi)

I would like to make a donation of Rs. .....................................................................................

(Amount in words) ............................................................................................................................................................................................

Enclosed is cheque/DD bearing number .....................................................................  Dated ........................................................................

Bank Name .................................................................................................................. Branch ........................................................................

 

Date ............................................... Signature ............................................................

 

Financial Assistance Details:

For Online Transfers: NEFT Details

Bank Name            :  The South Indian Bank Limited,

Branch                    : Rohini, Delhi

Account Name      : TRINETRA SOCIETY

Account Number  :  0303073000002774

IFSC/NEFT Code :  SIBL0000303

Donate through Cheque or DD

Cheque / Bank Draft should be in favour of "  Trinetra Society " Payable at Delhi & Send at following Address :

HUMANCARES.ORG

H-6/106, Aggarwal Tower, Netaji Subhash Place, Pitampura, Delhi - 110034 INDIA

DONATE AMOUNT

500/-

1000/-

2000/-

5000/-

OR ABOVE

Please Donate those your feel comfortable.