Please fill application and submit

INTACT Catastrophe Foundation

I would like to sponsor a child from the Tsunami hit Coastal area.  Please send me the Child data card and others details. 

   Yes, I want to support a   child.

Higher grade  student

Lower grade student

US$ 160 for 1 year

   Application Form

Name of foster partent  

Address :

Country

Date of Birth

Telephone

Fax

E- mail

Comments

 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     

Sponsorship money can be paid for a year or in instalments.

The sponsorship will support  the child until she becomes self-reliant.

Thank you for caring

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