Donation Form

।। विद्या धनम् सर्व धनम् प्रधानम् ।।

Donor Information

Full Name:*

E-mail address:*

Phone:

+977-23-9999999999

Street address:

City

Zip code:

Country

Donation Information

Donation Type (intended)*

Payment Method

Currency

Donations Amount

USDDescription

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Amount

Card Payment

Cheque/Receipt/Acknowledgement Number

Bank Name and Branch

List of Goods (Computers, Books etc.) with Approximate Price

Volunteering Period

Any Comments ?

Name(s) to be used in acknowledgments:

Upload Slips/Receipts

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OUR BANKERS:

Rashtriya Banijya Bank
Branch: Damak, Jhapa, Nepal. (214)
Account No.: 214000489501

SWIFT Code: RBBANPKA

NIC Asia Bank
Branch: Gauradaha, Jhapa, Nepal.
Account No.: 8741504253524001

SWIFT: NICENPKA

OUR INFORMATION

Janata Secondary School
Gauradaha Municipality, Ward No. 1, Jhapa.
Contact Phone: +977-1-480311
Contact Mobile: +977-9852625525 (Mr. Buddhiman Karki -Head Teacher)
Email: info@janatasecschool.edu.np / janatasecschool@gmail.com