Donor Form

DONOR REGISTRATION FORM

Fields Marked with '*' are Mandatory.
Full Name as in Passport*

First NameLast Name
I would like to donate per Month*
Choose Rs.100 or Rs.200 or Rs.500
E-mail ID*
Aadhaar No *
Full Address as per records*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

+91Phone Number
I declare that I am an Indian citizen, above 18 years of age and am making this contribution voluntarily from legally earned personal funds. I also permit The Ministro Foundation can communicate with me through phone and/or email specified above. The particulars and statements made above are correct to the best of my knowledge and nothing has been concealed or withheld.
Should be Empty:

DONOR REGISTRATION FORM