PLEASE FILL UP THIS FORM AND EMAIL TO iesm2008@gmail.com. MONEY DONATED WOULD BE USED FOR EXPENSES THAT WILL ARISE FOR ADMINISTRATIVE & TRANSPORT REQUIREMENTS FOR RALLY & HUNGER STRIKE PARTICIPANTS PAN INDIA. THANK YOU
DONATION
Service: Army/Navy/Air Force/Civilian No.: Rank: Name: Address:
Tel/Mobile No: Email ID: CASH/CHEQUE*/DD* Chq/DD Number: Name of Bank: Dated: Amount:
Date Signature of Donor
*Payable to “Indian Ex Servicemen Movement, HDFC Bank A/c No. 06162000001330” |
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