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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

E-mail

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 conrm 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 conrm 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


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