MEMBERSHIP FORM

I / We wish to become a friend of MOHSIN EYE BANK, Visakhapatnam.

I / We remit herewith Rs_______________by Bank Draft No__________drawn on____________

Name________________________Designation________________________________________

Organisation___________________Address__________________________________________

Tel______________Fax________________E-mail______________Signature________________

Please send the payment by Demand Draft in the name of VEBART-TRUST payable at Visakhapatnam.

Date ____________

Become Friends-of –Eye Bank (only one time payment)
Hospital Cornea Retrieval Programme (HCRP)
Friend of Eye Bank Rs.500/-
Donation for one Week HCRP Programme Rs.2,500/-
Donation for one Month HCRP Programme Rs.10,000/-
Donation for one Year HCRP Programme Rs.1,00,000/-

 

  • DONATIONS TO VEBRAT TRUST – Exempted under 80G of IT Act.

  • "VEBART TRUST" registered under Foreign Contribution (Regulation) Act, 1976 with Registration number 010350170.


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