Fillable SHREENATH DHAM HAVELI PROJECT - SEVA PLEDGE FORM

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SHREENATH DHAM HAVELI PROJECT - SEVA PLEDGE FORM

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SHREENATH DHAM HAVELI PROJECT - SEVA PLEDGE FORM
PERSONAL DETAILS
Name
Address
Mobile #
Email
HAVELI SEVA DETAILS
Category (Nyochavar Amount)
Name/s to be displayed
I understand that funds committed above for Haveli Seva, will be utilised by VSWA for
the Sole Purpose of SHREENATH DHAM HAVELI Project.
I am aware that funds to VSWA need to be provided, latest by 31
st
March 2021, or earlier
if requested, with at least a 3 week prior intimation to me by VSWA.
I , hereby
Confirm my Pledge for SHREENATH DHAM HAVELI SEVA, as detailed above.
Bank Details for Donation BSB : 306-054
Account No.: 063 5139
Name of the Account: SHREENATH DHAM TRUST
SIGNATURE OF DONOR :
Date :
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SHREENATH DHAM HAVELI PROJECT - SEVA PLEDGE FORM

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Completed 3 December 2020

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