Chinmaya
suyra, chinmaya mission puducherry
No.108, Krishna Main Road,
17th Cross Cutting, Lawspet, Puducherry- 605008. (0413) 2254914
Registration For for Sakti
Upasana Camp 2017
Residential / Non-Residential
Name :
S/o, D/o, W/o :
Address :
Age : Gender :
M / F
Gotra : Nakshatra
:
Mobile : Email-id
:
PAN No.
Please find enclosed a
sum of Rupees _________________________________________
________________________________________________________________________
________________________________________________________________________
Paid by Cheque / DD No.
Dated drawn
on
________________________________________________________________________
(Name of the
Bank & Branch)
Favouring “Madras Chinmaya Seva Trust (Puducherry)”.
Direct Transfer Ref.
No. :
and Date :
Signature
Pls. Note : Camp Donation is
Non-Refundable