Mere Saath

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Are you a Donor/Transferrer ? *

(Note: select 'Transferrer' if you have transferred the amount on behalf of donor)

Mode of Payment*

Transaction No*.

Transaction Date*

Transaction Image(jpg,png)*

State*

Staff/Contact Person who inspired you*

Remarks

Transferrer Name & Mobile

Title*	Donor Name*	Donor Type*	Language*	Amount*	Donation Collected information (if you are a transferrer)			Phone* & Email*	Address*	+/-
Title*	Donor Name*	Donor Type*	Language*	Amount*	Collected On	Via	at	Phone* & Email*	Address*	+/-
				PAN:

Total Donation: 0

Total Donors: 0

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