APPLICATION FOR JOTHINATHAR SHIVA TEMPLE PROJECT DONATION

First Name
Father's Name
Mother's Name
Address
WhatsApp Phone No
Email Address
Tick the Amount of Donation you wish to make..! .

  US $ 100 or Rs. 7,000 /-
  US $ 200 or Rs.14,000 /-
  US $ 300 or Rs. 21,000 /-
  US $ 400 or Rs. 28,000 /-
  US $ 500 or Rs. 35,000 /-
  US $ 600 or Rs. 42,000 /-
  US $ 700 or Rs. 49,000 /-
  US $ 800 or Rs. 56,000 /-
  US $ 900 or Rs. 63,000 /-
  US $ 1000 or Rs.70,000 /-
  US $ 2000 or Rs. 1,40,000 /-
  US $ 3000 or Rs. 2,10,000 /-
  US $ 4000 or Rs. 2,80,000 /-
  US $ 5000 or Rs. 3,50,000 /-
  US $ 6000 or Rs. 4,20,000 /-
  US $ 7000 or Rs. 4,90,000 /-
  US $ 8000 or Rs. 5,60,000 /-
  US $ 9000 or Rs. 6,30,000 /-
  US $ 10000 or Rs. 7,00,000 /-

Total Amount of money to be paid $
Mode of payment
UPI Transfer for Indian Residents   
FCRA Bank A/C Transfer for foreign residents