Foreign Contribution

To,

The General Secretary,

ISKCON Bureau

Hare Krishna Land, Juhu, Mumbai – 400049.

I/We would like to inform you that I/We have contributed to your Society and I/we am/are providing herewith all the necessary information for your records:

Full legal name of Donor:

Email ID:

Mobile Number:

Legal Status of the Donor:

Citizenship of Donor:

Country of incorporation/ Registration:

Registration Number:

Full address of the Donor:

Method of Payment:

Currency:

Contribution Amount:

Contribution is to be used towards:

To be used by the ISKCON Centre/project located at:

Signature of Donor / Authorized Signatory:

Seal of Company/Charity/Partnership Firm:

Passport:

I/We hereby declare that the above information is true and correct to the best of my/our knowledge.