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
 
 










