Donation cum Sponsorship Form

Name *

Street Address *

City *

State/Province*

ZIP / Postal Code*

Country

Phone *

Email Address *

Sponsorship Information *I would like to sponsor a specific child with a disability (info. of the child with disability will be shared with the sponsor later)

Donation type/Frequency *

Process/I will process on my donation on

This donation is made by

I prefer to donate by

DeclarationI understand that my donation will go towards supporting child's (with disability) education, medication, rehabilitation, etc, as informed to me. I am aware that Jan Vikas Samiti, Varanasi is a charitable organization registered under the 80G of income tax Act and i may be eligible for a tax exemption under section 80G of the income tax

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