Right Here Right Now You have the power to bring a lasting change in the lives of our country’s children.
ACKNOWLEDGMENT
Title
THANK YOU FOR JOINING THE CRY FAMILY Donations to CRY are exempt from 50% tax under section 80G of the Income Tax Act.
First Name
Donation Amount
Last Name Donation Frequency
THANK YOU We acknowledge the receipt of your donation form. Your donation will help bring a smile to the faces of children in need. Our PAN for tax exemption purposes is : AAATC2812Q. Your first donation will be debited within the next 30 days. We will send you a consolidated receipt and tax exemption certificate twice every year in October and April. Please note : CRY does not ask for/ accept cash donations If you have any questions please feel free to get in touch with us using any of the channels below:
CRY – Child Rights and You, 189/A Anand Estate, Sane Guruji Marg, Mumbai – 400 011 | Website : www.cry.org E-Mail :cryinfo.mum@crymail.org | Tel :022- 23063647/3651/1740
THANK YOU FOR JOINING THE CRY FAMILY Donations to CRY are exempt from 50% tax under section 80G of the Income Tax Act.
Title
First Name
DONATION FORM
Last Name
Communication address
Pincode
Telephone Number
Mobile Number
Date of Birth D D M M Y Y
Name on receipt I would like to ensure happy childhoods and brighter futures for children
PAN No. Signature
Help us understand you better The children’s issue that concerns me the most is: Lack of Education
Health issues and malnutrition
Girl children and the issues they face
Campaign Code : 61428
Exploitation and children being unsafe
All these challenges are important
Debit Mandate Form NACH / ECS / DIRECT DEBIT UMRN Tick (ü)
Date
CITI000PIGW
Sponsor Bank Code
CREATE MODIFY CANCEL
I/We hereby authorize
Utility Code
CRY - CHILD RIGHTS AND YOU
CITI00002000000037 To debit (Tickü) SB /CA /CC /SB-NRE /SB-NRO /Other
Bank a/c number
IFSC
with Bank
or MICR
an amount of Rupees FREQUENCY
Mthly
Qtly
H-Yrly
Yrly
As & when presented
Reference 1
DEBIT TYPE
Fixed Amount
Maximum Amount
Phone No.
Reference 2
Email ID I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank.
PERIOD From To Or
ü Until Cancelled
Signature Primary Account holder
Signature of Account holder
Name as in bank records
Name as in bank records
1.
2.
Signature of Account holder
3.
Name as in bank records
This is to conrm that the declaration has been carefully read, understood & made by me/us. I am authorizing the User entity/corporate to debit my account. Based on the instruction as agreed and signed by me. I have understood that I am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user entity/corporate or the bank where I have authorized the debit.
Form ID
Fundraiser Signature
Fundraiser Name
Fundraiser ID
Debit Mandate Form NACH / ECS / DIRECT DEBIT UMRN Tick (ü)
Date
CITI000PIGW
Sponsor Bank Code
CREATE MODIFY CANCEL
I/We hereby authorize
Utility Code
CRY - CHILD RIGHTS AND YOU
CITI00002000000037 To debit (Tickü) SB /CA /CC /SB-NRE /SB-NRO /Other
Bank a/c number
IFSC
with Bank
or MICR
an amount of Rupees FREQUENCY
Mthly
Qtly
H-Yrly
Yrly
As & when presented
Reference 1
DEBIT TYPE
Fixed Amount
Maximum Amount
Phone No.
Reference 2
Email ID I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank.
PERIOD From To Or
ü Until Cancelled
Signature Primary Account holder
Signature of Account holder
Name as in bank records
Name as in bank records
1.
2.
Signature of Account holder
3.
Name as in bank records
This is to conrm that the declaration has been carefully read, understood & made by me/us. I am authorizing the User entity/corporate to debit my account. Based on the instruction as agreed and signed by me. I have understood that I am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user entity/corporate or the bank where I have authorized the debit.
Form ID
Fundraiser Signature
Fundraiser Name
Fundraiser ID