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4. I wish to sponsor health (general health | blood donation) camp(s):
Camp(s) (Number)
Amount (
`
)
Please tick your choice
1
50,000
2
1,00,000
3
1,50,000
Other, _____
_____(@
`
50,000 per camp)
5. I wish to construct amenity blocks in a village:
Amenity block(s) (Number)
Amount (
`
)
Please tick your choice
30
5,00,000
60
10,00,000
90
15,00,000
Other, _____
_____(@
`
16,800 per amenity block)
6. I wish to donate
`
_______ towards the corpus of Atul Rural Development Fund.
My contact details are given below:
Name:_______________________________ Home | Office address: _____________________
_________________________________________________________________________________
E-mail address:_____________________________ Mobile telephone: ____________________
The donation amount may be remitted, along with the requisite information with respect
to how you wish to participate (project, corpus, etc), by drawing a cheque in favour of
Atul Rural Development Fund and sending it to Dr Rana Vishnoi or through RTGS as per
the details given below:
Beneficiary: Atul Rural Development Fund Bank: State Bank of India
Branch: Atul
Account number: 10259739167
IFS code: SBIN0001657
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