Form for Puja Offerings - Sakti Upasana Camp 2017

Chinmaya suyra, chinmaya mission puducherry

No.108, Krishna Main Road, 17^th Cross Cutting, Lawspet, Puducherry- 605008. (0413) 2254914

 

Sakti Upasana Camp 2017

form for puja offerings

Offerings for :

Mukya Yajaman / Yajman for Day / Kumkum Archana / Chandika Homam / One Day Sponsor / All Day Sponsor

If any other, please specify.

Puja Details :  

Puja Date        :                                               Time :

Name  :                                                          

Address :

Age :                                        Gender :M / F

Gotra :                                                 Nakshatra :                                   Rasi :

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