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Application Form for 351 Plan
  1. Please specify your Name as in your Bank A/C.
  2. Please read the terms and conditions of the Welfare programme carefully before filling up and signing them.
  3. This donation is to assist the federation to promote its objectives and raise funds for achieving the ultimate goal of equality.
  4. Donations made by the applicant will be credited to corpus fund of the federation to meet out the expenses of its activities.
 Name  
 
 Date of Birth   (MM/DD/YYYY)
 Address  
   Distt.  
 State    PIN  
 Phone    Mobile  
 PAN      

Nominee Information
 Name  
 Relationship     

Sponsor Information
 Sponsor ID     
 Sponsor Name     

I Agree to Terms and Conditions

 
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