TRANSACTION ID
(For Office Use)
PLACE:
DATE:
Name of the Trust/Scheme
Select
Sri Venkateswara Pranadana Trust
Sri Balaji Institute of Surgery, Research and Rehabilitation for the Disabled (BIRRD) Trust
Sri Venkateswara Heritage Preservation Trust
Sri Venkateshwara Sarva Sreyas Trust
Sri Venkateswara Anna Prasadam Trust
Sri Venkateswara Vedaparirakshana Trust
Sri Venkateswara Vidyadana Trust
Sri Srinivasa Sankara Netralaya Trust
Sri Balaji Arogyavara Prasadini Scheme
Sri Venkateswara Gosamrakshana Trust
DONOR PARTICULARS
TYPE OF DONATION
INDIVIDUAL
JOINT
COMPANY/ FIRM / TRUST
1.
NAME OF THE DONOR
(In case of Joint Donor enter
details of 2nd Person)
2.
DATE OF BIRTH
(In case of Company please provide Registration No.)
3.
ID PROOF NUMBER
(PAN / AADHAR CARD)
( In case of NRI / Foreigners Passport No)
4.
MOBILE NUMBER
5.
E-MAIL ID
(Please enter in Capital letters)
6.
ADDRESS WITH PINCODE
PAYMENT DETAILS
1.
CHEQUE/ DD / DIRECT CREDIT / CHALLAN No.
2.
DATE
3.
AMOUNT
(In Words)
Rupees
only
4.
NAME OF THE BANK
5.
BRANCH/CITY
FAMILY MEMBER DETAILS (Not applicable for Company / Firms etc.)
INDIVIDUAL DONATION (Mention 4 persons) - JOINT DONATION (Mention 3 persons)
SI.NO.
Name of the Member
Gender
Date of Birth
ID Proof Number (AADHAR/PAN/PASSPORT)
Relationship with Donor
1.
2.
3.
4.
Note: Company / Firms etc., can authorise any Five members at the time of redemption
DECLARATION
Please accept our contribution towards the CORPUS of the above Trust /Scheme
SIGNATURE OF THE DONOR/
AUTHORISED PERSON
IN CASE OF COMPANY/FIRM WITH SEAL
Donor Corpus Request Letter :-
Date
Place
Name of the Donor
Address
Mobile number
To
The Chief Accounts Officer,
T.T. Devasthanams,
K.T. Road
Tirupati -517501
Sir/Madam,
Please accept our contribution of Rs.
(Rupees
only) via Cheque /DD/ Challan No.
dt.
towards the CORPUS
of Trust / Scheme. I/We request you to kindly acknowledge the same and issue applicable Tax Deduction Certiicate under the Income Tax Act of 1961.
(Signature of the Donor)