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Donation : BY CHEQUE / DEMAND DRAFT

Yes I want to make Donation to Sister Margaret Foundation by  Cheque / DD/ ECS / UPI Payment / Net Banking.  My payment details are as below.
 
MODE OF PAYMENT: ( Please give a  ( _/ ) Tick on relevant BOX )

 Mode of Payment :
 Payment Details: Bank Name :
 Branch :
 Chq. / DD No. :
 Amount :
 Name of the Donar :
 Address :
 Pin :
 State :
 Mobile No. :
 PAN No. :