CRY Monthly Giving Form Bank Verification Letter Donor Information Name: Address: City: Pin Code: Mobile: Tel No: Email: Date Donation Amount To, Support us in 1 village/slum to: The Manager ActivateBranch primary health centres enabling children and communities to gain access to timely healthcare ` 250/- p.m. Stop child labour by helping parents gain employment and providing children access to education ` 400/- p.m. Start, strengthen and monitor government schools to ensure access to quality education for all children ` 700/- p.m. Bank: Ensure each and every child in the village enrols in school ` 1,000/- p.m. Ensure the village is totally free of child labour ` 2,000/- p.m. Enable a community to ensure that all children are educated, protected and nurtured and given an opportunity to Branch: ` 3,500/- p.m. have a happy and healthy childhood. Please note: All donation options mentioned above are to illustrate the change your donation can make to the lives of children. All funds/donations raised by CRY may be pooled Dear Sir, together and allocated to other child rights endeavours depending on the need on the ground. Thank you. . ll donations to CRY are 50% tax exempt under Sec 80G and 100% exempt under sections 80GGA or 35AC. A Sub: Mandate Verification for A/c No. Bank Account Details First/ Sole Account Holder: Second/ Third Account Holder: This is to inform you that I/we have registered with BillDesk* services to avail of the Bank Name: Branch: City: Account No:bill payment facility MICR No: online offered by them. Such payments shall be made from my/our above mentioned accountCurrent with your bank Account type: Savings O/D and shall be routed through RBI's Electronic Account operation: Single Joint Clearing Service (Debit Clearing) cycle.Either or Survivor *First direct debit on your account will happen after 35 days of sign-up START DATE: END DATE: 7 Payment 2 0 1 6 I hereby authorise you to honour such payments and have signed the necessary DD/MM/YYYY DD/MM/YYYY Authorisation Form in that regard. Further, authorise the representative to get the ServiceI Acceptance I/ We confirm that the particulars above are correct and complete. I/ We hereby authorise Billdesk* services to debit my/ our above mentioned mandate verified, asgiven enclosed. account for the amount of payments specified by me from time to time through the service. The authority shall be in force with immediate effect and shall continue until I/ we revoke it by instructions delivered to CRY in writing. Mandate verification charges (if any) may be charged to my/our account. First/ Sole Account Holder Second Account Holder Third Account Holder Thanking You, * BillDesk service is provided and managed by M/s IndiaIdeas.com Limited. Yours Sincerely, MICR No: SIGNATURE: NAME: Certification By Account Holder’s Bank DATE: DD/MM/YYYY Authorised Signatory Bank’s Stamp CRY - Child Rights and You Delhi: 632, Lane No.3, Westend Marg, M.B. Road, T-Point CISF Camp (Near Saket Metro Station) Said-ul-Ajaib (Near Garden of Five Senses, Saket), New Delhi - 110 030. Tel: (011) 24693137/4790/3159. Fax: 24632302. E-mail: ip.del@crymail.org Mumbai: 189 A, Anand Estate, Sane Guruji Marg, Mumbai 400 011. Tel: (022) 23096845/6472/23063651. Fax: 23080726. E-mail: cryinfo.mum@crymail.org Bangalore: Madhavi Mansion, 12/3-1, Bachammal Road, Cox Town, Bangalore 560 005. Tel: (080) 25484952/8574. Fax: 25487355. E-mail: cryinfo.blr@crymail.org Chennai: No.11, 16th Avenue, Harrington Road, Chennai- 600 031. Tel: (044) 2836 5545 / 5546. Fax: 2836 5548. E-mail: cryinfo.mds@crymail.org Kolkata: 152, Kalikapur, Gitanjali Park, New No. 8, 2nd Street, Kolkata - 700 099. Tel: (033) 2416 9507/ 2772. Fax:2416 3322. E-mail: cryinfo.cal@crymail.org. Hyderabad: Ms. Sravanthi Mocherla, C/o Tata Business Support Services Ltd., 1st Floor, Gowra Trinity, Chiran Fort Lane, Begumpet, Hyderabad - 500 016. Mobile: 09948097127 You can also visit us at www.cry.org Bank Verification Letter Date To, The Branch Manager Bank: Branch: Dear Sir, Sub: Mandate Verification for A/c No. This is to inform you that I/we have registered with BillDesk* services to avail of the online bill payment facility offered by them. Such payments shall be made from my/our above mentioned account with your bank and shall be routed through RBI's Electronic Clearing Service (Debit Clearing) cycle. I hereby authorise you to honour such payments and have signed the necessary Payment Authorisation Form in that regard. Further, I authorise the representative to get the mandate verified, as enclosed. Mandate verification charges (if any) may be charged to my/our account. Thanking You, Yours Sincerely, SIGNATURE: NAME: