ARUNAI CHARITABLE TRUST
Bank Remittance Confirmation Form
Contributing Person First Name *
Contributing Person Last Name *
Communication Address *
Contact Phone Number *
E-Mail ID *
Specify eaxct Indian Rupees Deposited *
Contribution is made towards
Education Fund
Endowment Fund
Donation
Mode of Contribution
Bank Transfer to KVB - ACT A/c
Cheque Deposited in KVB - ACT A/c
Cash Deposited into KVB - ACT A/c
If Transfer, Specify Transfering Bank & Br.
Date of Bank Transfer
Does it include Annual Subscription of Rs.1,500
Yes
No
Instructions or Wish, if any
Type the following:
For security purposes, please type the letters in the image.