Indian Money Donation Form

Name of the Individual or Institution:*
E-mail:*
Mobile No :*
-
Address:*
PAN :*
Donation Amount :*
Donation for :*

Bank Details for Transfer

NAME OF BANK            :CANARA BANK

BRANCH                        : South Gandhi Maidan (Main Branch)

Branch code                   :000352

ADDRESS BANK          :  South Gandhi Maidan, Main Branch

CITY                               :  PATNA

STATE/REGION             :  BIHAR

POSTAL CODE               : 800001

SWIFT (BIC) CODE        : CNRBINBBPER

IFSC code (India only)   :CNRB0000352

 General Business Account Details (For Indian Money only) :

ACCOUNT NUMBER                        :0352101021755

NAME ACCOUNT HOLDER           :  Bihar Voluntary Health Association

ADDRESS ACCOUNT HOLDER          :  West of Ganga Apartment,  Opp. LCT Ghat, Mainpura

PLACE/CITY                                      :  PATNA

DISTRICT/STATE                               :  PATNA / BIHAR

POSTAL CODE                                  : 800001