the form - Gopali Youth Welfare Society

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GOPALI YOUTH WELFARE SOCIETY
Govt. Registered - Reg. No. S/IL/23893, FCRA, 1976. Reg. No. 147040589
Registered U/S 12 AA & 80G of Income Tax Act, 1961 Valid up to 2013-14, PAN NO. AAAAG5236D
Gopali (No-shooting Area), P.O. - Salua, Dist. - Paschim Medinipur Pin – 721145
E-mail: gywsociety@gmail.com
Office Time:
8:30AM-1:00PM
4:30PM-9:00PM
Phone: 03222 651019/29653
Website: www.gyws.org
Donor Registration - EDUCATE A CHILD
Sl. No.:________________
To take care of education of the students studying in the school, Jagriti Vidya Mandir, run by Gopali
Youth Welfare Society, I am hereby ready to donate the annual expenses incurred by a student for his/her studies for
the current academic session.
Name of the Donor
Amount Donated
Contact no.
Occupation
Address
:
:
:
:
:
Mode of Payment:
E-mail id:
Signature of the donor
___________________________________________________________
Sl.No.:________________
FOR OFFICIAL USE ONLY
Name of the student :
Class
:
Items sponsored
:
It will be ensured that after incurring the expenditure of this student, no fee will be charged from him/her by
JVM. The academic progress of the student will be regularly sent to the donor.
Declaration (for office use only):
This is to certify that Mr./Mrs./Ms
has undertaken to donate the annual
expenses of
for his studies for the current academic session__________
Mr. Mrinal Kanti Bhanja
General Secretary
GYWS
Secretary
School Review Committee
GOPALI YOUTH WELFARE SOCIETY
Govt. Registered - Reg. No. S/IL/23893, FCRA, 1976. Reg. No. 147040589
Registered U/S 12 AA & 80G of Income Tax Act, 1961 Valid up to 2013-14, PAN NO. AAAAG5236D
Gopali (No-shooting Area), P.O. - Salua, Dist. - Paschim Medinipur Pin – 721145
E-mail: gywsociety@gmail.com
Website: www.gyws.org
Educate a Child
Office Time:
8:30AM-1:00PM
4:30PM-9:00PM
Phone: 03222 651019/29653
Sl. No.:________________
This is to acknowledge that _________________________________________________________has kindly agreed to
educate __________________________________of Class: _______by donating __________per month / one-time
through the plan: Cereus/Calendula. Student file No.:___________
It will be ensured that after incurring the expenditure of this student, no fee will be charged from him/her by
JVM. The academic progress of the student will be regularly sent to the donor.
Date:
Authorized Signature:
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