FILL APPLICATION FORM Name * JOHN Email Address * abc@gmail.com MOBILE NUMBER * +91-9999999999 Date * ADDRESS * PURPOSE OF DONATION * DASWAND,CONSTRUCTION,ANNAPURNA AMOUNT * 10,20,100,1000..... ID NUMBER * PAN NUMBER OR ANY ID NUMBER PIN CODE * 10001 Image Upload * CHOOSE IMAGE * I have read the Term and Conditions and hereby agree to the same. SCAN & PAY BANK DETAILS:BANK NAME:ABC BANKIFSC CODE:ABC00235MICR CODE:SWIFT CODE:ROUTING NUMBER:
