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I enclose my donation,
made payable in Indian Rupees to "Oxfam (India)" for:
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Rs. 5,000 |
Rs. 2,000 |
Rs. 1,000 |
Your own amount
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| Cheque/Draft No.
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Dated:
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Bank:
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Master Card No.
(Sorry, No other cards accepted.) |
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| Valid until |
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Signature |
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| Name: (Mr./Mrs/Ms/Dr) |
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| Address: |
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City
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PIN
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State
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| Date of Birth |
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Occupation |
All donations
are exempt under section 80G of the Income Tax Act, 1961
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Please print and fill out this form and
send it along with your cheque/draft favoring "Oxfam (India)" to:
B-3, Gitanjali Enclave, 2nd Floor, New
Delhi 110017. India
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Oxfam works with poor people
all over India, regardless of race or religion, helping them overcome poverty
and inequality to make a lasting improvement in their own lives. |