Donor Details Form

BST would like to keep a record of the donor details and it would be extremely helpful if donors can send the form duly filled in all respects.

Download the form and kindly fill it up and send it to our contact address or email to vnagesh41@yahoo.com

Click on the link below to download the form.

BST-Donation form

Alternatively you can copy paste the following and fill it up and send it to us.

Date :

 

To

The Managing Trustee,

BhagavathaSeva Trust,

Flat No. F-2, 1st Floor, B-Block, Plot No. 20,

First Street, Sambandam Nagar,

Valasaravakkam, Chennai – 600 087.

 

Sir,

I am making a voluntary contribution to the Corpus of the Trust as detailed under:

Name ……………………………………………………………………………………

Address …………………………………………………………………………………

……………………………………………………………………………………………..

Phone No.                                                   Mobile No.

EmailId:…………………………………………………………………………………

PAN No…………………………………………………………………………………

Contribution Details: 

Amount  (in figures)   : Rs………………………………………………………..

(in words)    Rupees…………………………………………………………………

Cheque / DD No.                                            Dated

Drawn on (Bank)                                            Branch

Online transfer Details :

If remitted by online transfer of funds,

Transaction Reference no:……………………………………………………….

 

Signature

————-

© 2015 – Bhagavatha Seva Trust