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YOU TOO CAN CONTRIBUTE IN THIS MISSION How to apply for the membership All you have to do is to fill in the particulars given in this form and send it to the address written below along with account payee cheque/draft/moneyorder in favour of Matribhumi Sewa Mission or you may deposit your contribution amount in saving account number 30185558823 in any computerized State Bank of India branch. The acknowledgement receipt will be sent to you as soon as the office comes to know of your contribution amount. Nature of Membership Amount Payable Guardianship of one child Rs. 12,000 p.a. Educational Expenses of one child Rs. 6,000 p.a. Well-wisher member Rs. 11,00 p.a. Diet Expenses of one day Rs. 21,00 Building expense of one room along with Veranda Rs. 1,25,000 Building expenditure of one room Rs. 1,00,000 Arrangement of room for one child Rs. 12,000 Building expenses per square foot Rs. 501 School expenses for one month Rs. 11,000 Medical expenses for one day Rs. 21,00
CHEQUE/DEMAND DRAFT PARTICULARS
Cheque/Draft No…………………………………………….................................................... Amount…………………………… Dated………………….................................................... Name of bank………………………………………………..................................................... Other Particuliars: Name………………………………………………………….................................................. Date of birth………………………………………………….................................................. Occupation………………………………………………….................................................. Correspondence Address (with Pincode) …………………………………………………………........................................................ …………………………………………………………....................................................... …………….........................................………………Pin………………………................. Phone…………...........………….Email…………............................................……………
If you want to introduce any other person to the mission then write about his/her particuliars. Name……………………………………………….......................................................... Correspondence Address (with Pincode) ………………………………………………………....................................................... ………………………………………………………...................................................... ……………….......................…..Pin……………........................................…………… Phone……..........................………Email…………….............................……………… Suggestion (if any)………………………………......................................................... …………………………………………………….......................................................... …………………………………………………….......................................................... SIGNATURE It is our good luck that you have come in contact with the mission and taking part in its activities. Your affection and trust in us is your best contribution. You may opt for any sort of help, not only with it bring a qualitative change in the life of children but their life will change for better also. CONTACT WITH US MATRIBHUMI SEWA MISSION (Regd.) Vill. & Post- Amin, Kurukshetra Haryana – 136038 Ph. No.- +91-1744-290399 [Tele Fax], +91-9416220636 Email :
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. Executive Office Matribhumi Sewa Mission, Sannihit Sarowar, Kurukshetra, Haryana- 136118, Ph. No.- +91-1744-290399 [Tele Fax], +91-9416220636
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