Donation Form

SHIRTHO EDUCATION & SPORTS FOUNDATION

Donate Form

Referrer Serial No.:

Referrer Name:

Full Name*:

Date of Birth * :

Mobile No.*:

Email (optional):

Pancard No. (optional):

Profession:

Blood Group *:

State * :

District *:

Address*:

Pin Code *:

Aadhar No. *:

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Amount*:

Bank Detail -

Holder Name: SHIRTHO EDUCATION AND SPORTS FOUNDATION
Account Number: 41674011192
IFSC Code: SBIN0004798

UPI SCAN:

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