Donor Member Registration Form

Join our community of generous donors making a difference

Registration No *

Name of Donor *

Postal Address

District

State

Pincode

Mobile No *

WhatsApp No

Date of Birth

Date of Marriage

Entry Date

वर्तमान में आप क्या काम करते हैं

Family Members Details

TWO HUNDRED RUPEES ONLY FOR ONE PLATE BHOJAN ARRANGEMENT FOR THE HELPLESS

Name of Family Member

Family Member DOB

Name of Family Member

Family Member DOB

Name of Family Member

Family Member DOB

Other Details

सहयोग हेतु निवेदन: आपसे निवेदन है कि आप अपने किसी 4 व्यक्ति का परिचय देने का सहयोग करें -

Other Name

Other Mobile

Upload Signature / Image

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Upload Donor Image

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Donation Amount

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Please Note

Donation amount should be minimum ₹200. Your contribution makes a significant impact.