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: