Secretary,

Saraswat Hitwardhak Mandal,

Saraswat Bhawan, Chattrapati Shivaji Maharaj Marg (Moghul Lane),

Mahim, Mumbai 400016.

Sir,

  I/We would like to donate the below mentioned amount which we request you to accept.

Donor's Name :-     

Donor's Full Address:-

Telephone No.:-                    Mobile:-                  

Email:-                             

Donation Amount (Rs.)         In Words :--            

Cheque No.:-                          Bank Name:-          

Branch Name :-                     Dated:-                     Amount may be credited through RTGS/NEFT/ direct deposit into our SB Account No. 007200100008454 with Saraswat Co-op Bank Ltd, Sitaldevi Temple Road, Mahim, Mumbai, IFSC Code: SRCB0000007

Elaborate on Utilization of Donation Amount:-

Is Donor Member:-        

---

Amount to be used for :-       

                                          Help for Education

                                          Medical help for needy

                                          Prizes

                                          Other (Please Specify)   

Note:-Acceptance of Donation is subject to Terms & Conditions set by Management Committee