Donation Form

Submitted by admin on Fri, 11/07/2008 - 22:07

To, The Executive Secretary, Mahim, Mumbai - 400 016. Dear Sir, I would like to join hands with you in the cause of the Organization especially to improve the lot of the less privileged members of society, in the field of education, medical assistance and to promote self-reliance. I give below my particulars:

Enroll As

Enroll me as:

Ordinary Member for which I remit Rs.100/- p.a.

Life Member for which I remit Rs.2,500/-

Patron Member for which I remit Rs.5,000/-

Sponsor As

Enroll me as a Sponsor for:

You can Also Contribute to MESCO`s Effort as Follows

Contribute to MESCO`s Effort:

Rs. 50,000/- a Year , and ensure professional Education for a Meritorious Student.(HCELS)

Rs. 4,000/- a year will cover a child`s school/College fees.(Education Aid)

Rs. 12,000/- can provide dry ration to widow and her family for whole year.(Ration Support)

Rs. 10,000/- per Year and help a Meriterious Child study Further. (Education Adoption Scheme)

you can set up a Corpus Dedicated to the memory of near one ; start a "Sawaab-e-Zariya !".

Your Personal Inforamtion

Name: *

Academic Qualifications:

Date of Birth: *

Sex:

	Male	Female
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Marital Status:

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Residential Address:

Telephone (Residential): *

Profession:

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Office Address:

Mobile No:

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Whether connected with any other organization (social / professional ):

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(If yes, specify name, giving address):

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