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REGISTRATION FORM
Name :
Address :
Phone : Res
Office :
E-Mail ID :
Occupation :
Martial Status :
Married
Unmarried
Date of Marriage :
DETAILS OF THE FAMILY MEMBERS
S.No.
Name
D.O.B
Age
Occupation
1.
2.
3.
4.
5.
PLEASE USE THIS GIFT FOR
Living Bread for Destitutes
Divine Home for the Orphan children
Education of poor children
Medical Aid to the poor
Love feast camps
Any other
DECLARATION
We Mrs. & Mr
& Family are a part of the Divine Charitable Trust Family and we would like to help and serve the poorest of the poor. We will contribute Rs
Monthly
Quarterly
Halfyearly
Annually
Contribution can be given in the form of cheque / DD / Cash infavour of Divine Charitable Trust
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