Dharma Sthamba Yojana

DHARMA STHAMBA YOJANA

Transforming Lives

DSY DONOR FORM

Note :

Please fill all details clearly in Capital letters so that the e-receipts can be sent to the correct address.
This form duly filled should be sent to the below mentioned address.
Contributions made are exempt from Income Tax under section 80G.
80G certificate will be sent to the Donor, once a year, after the payments are cleared.
Fields in (*) are Mandatory.
Please sign the form after printing it.
Click here to download a copy of this form.

DSY National Office
Vyakti Vikas Kendra, India
#54, 1st Floor, 39th A Cross, 11th Main,
IV T Block, Jayanagar, Bangalore – 560 041.
Ph. 080-28432398 / 498
Email : info@dsyindia.org Website: www.dsyindia.org

Dear Sir / Madam,
I am happy to be part of the VVKI – Dharma Sthamba Yojana (DSY) which supports service activities carried out by the “THE ART OF LIVING ORGANISATION” and wish

to contribute Rs	*
(In words )	*
per month, for the next * months starting from * (DD/MM/YYYY).

Note: Minimum period of donation - 12 months.

My mode of payment would be:

Electronic Clearing Service(ECS)

Post Dated Cheques (PDC)

One time payment - Cheque/D.D.

All donations to be made in favor of VVKI-Dharma Sthamba Yojana

My details are as follows :-

Name	*
Address	*
City	*	Pin *
State	*
Telephone(R)	*	(O) (M)
Email
Permanent Account No.(PAN)
Profession/ Designation:		Company Name:
Course Details
Name of Teacher
Course Type: Part II DSN Other		Details
Course Date		City
State
Date		Signature	………………………

For Office Use only

Donor code	……………………	DSY Coordinator	……………………
DSY Facilitator	……………………

Signature	……………………	Signature	……………………
Name	……………………	Name	……………………