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Please print this page and send by post |
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Girl child fostership form |
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Yes, I want to support a girl child. |
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| Enclosed is my fostership gift, Please send me my child’s picture and background information.I will adhere to the conditions of the fostership scheme. | |||||
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Higher grade student |
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Lower grade student |
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US$ 160 for 1 year |
US$ 110 for 1 year | ||||
| I don't wish to support a child right now, but I will donate to help needy indian children US $ | |||||
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Application Form |
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Name |
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Address |
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Country |
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Date of Birth |
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Telephone |
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Fax |
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E- mail |
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Comments |
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| Bank Information | |||||
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Name of account holder : Integrated Action Trust Account number : 01100070354 Name of Bank : State Bank of India Tiruchirapalli TownBranch(1312) Tiruchirapalli - 620 002 Tamilnadu, India |
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Thank you for caring |
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Sponsorship money can be paid for a year or in instalments.