Mudaliar Trust No.2, Collector Shivakumar Street, K.K.Pudur, Saibaba Colony,
Coimbatore – 641 038, India. Ph: - 0422-4384665, 4379532.
DONATION FORM
Details (Fill in block Letters). We need this details to send you our official receipt and further
communication on the activities of the beneficiary by your contribution that has changed and
enlighten the lives of needy and eligible students, differently abled, oppressed & disadvantaged
section .
Donors Details
Name
:
Address
:
City
:
Pin Code
:
Country :
Phone
:
Mobile :
Email ID
:
State
:
I wish to donate towards the details as given below :( by tick mark)
Education - for Orphans, Underprivileged , Students, Youths,
School bag
Pair of shoes
Set of uniforms
Set of books
School Package Kit
(Includes school bag, books, pen, pencil, eraser, shoes& uniform)
Rs.
Rs.
Rs.
Rs.
Rs.
200.00
300.00
400.00
800.00
2500.00
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
Rs.
15, 000.00
30,000.00
1,000.00
5,000.00
5,000.00
7,500.00
5,000.00
Educational Institution Needs
For School (furniture, Racks, library books, light fittings etc.,)
Provide a Computer for School Computer center
Sponsor for Education fee for child at School
Sponsor for Education fee for College Student (1 Year)
Sponsor for training on Soft Skills for Students (Per batch)
Sponsor for providing training on Technical Skills (Per batch)
Sponsor Training on Computer Applications ( Per batch)
Anna Dhanam - Providing Food
Food can be distributed to the children’s during your & your family persons wedding day, birthday,
remembrance of aged people, leaders of the Nation, freedom fighters & International Day
celebrations
Breakfast for Children’s (Minimum 100)
Lunch for Children’s (Minimum 100)
Dinner for Children’s (Minimum 100)
Rs. 2000.00
Rs. 3000.00
Rs. 2500.00
NO.2, COLLECTOR SIVAKUMAR STREET, K.K.PUDUR, SAIBABA COLONY,
COIMBATORE – 641 038, INDIA, PHONE: - 0422- 4384665, 4379532
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Mudaliar Trust No.2, Collector Shivakumar Street, K.K.Pudur, Saibaba Colony,
Coimbatore – 641 038, India. Ph: - 0422-4384665, 4379532.
Sponsor for Senior Citizens
Food , Clothes ,Shawl, Blankets, Walkers, Spectacles, Shoes
Sponsor for News Papers, Magazines, Books, Novels
Medical Camp- Health
Monthly Health Checkup
Special lectures (Per Month)
Carnatic, Hindustani , Ghazal , Flute etc.,
Training on Personal Health Care, Personalized Counseling and
Rehabilitation.
Rs. 5,000.00 (Minimum)
Rs. 500.00 (Per Month)
Rs. 5,000.00
Rs. 250.00 (Per Person)
Rs. 2,500.00
Rs. 5,000.00 (Once in 6 Months)
Rs. 1,500.00
General Needs
Sponsor for a bag of Rice
Sponsor for Groceries (Per Month)
School Uniform, Note Books, Conveyance
Cycle for School Children
Lecture on General Public : Socio Politico&
Legal Awareness
Celebrations Dedication Days & International Observance
Training in Yoga, Meditation, Fitness, Hygienic, Nutrition
Awareness Programme on Road Safety,(Safety Devices,
Helmets, Seat Belts, Respecting and follow up for
Road regulations, Cleanness )
Rs. 1000.00
Rs. 2500.00
Rs. 2500.00 (Per Person)
Rs. 3000.00
Rs. 3,000.00 (Per Month)
Rs. 2,500.00 (Per Function)
Rs. 2,500.00 (Per Programme)
Rs. 3000.00 (Per Programme)
Note :a. The above Sponsor Beneficiaries are: - Students, Physically challenged (Differently
Abled) Oppressed, Underprivileged, Orphans, Youths, Senior Citizens and General Public.
b. 1 batch ( Consist of 15 Students)
c. The above Donation Amount are INR.
Payment Options
Payments Type Cheque/ DD/MO/Cash
If Cheque /DD No------------------------- dated -------------------Drawn on -------------------------------Make cheque /DD in favour of : Mudaliar Trust, Payable at Coimbatore, Tamil Nadu, India
NO.2, COLLECTOR SIVAKUMAR STREET, K.K.PUDUR, SAIBABA COLONY,
COIMBATORE – 641 038, INDIA, PHONE: - 0422- 4384665, 4379532
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