Attakkalari KYD form
To be filled and submitted by the donor (For foreign citizens and entities abroad)
Email address *
Name of the Donor *
Your answer
Country *
Your answer
Address (Please provide full address of the donor with zip code) *
Your answer
Details of Identity / registration document (Please send a scanned copy to Attakkalari) *
Your answer
Occupation / profession
Your answer
Purpose of donation / support (mention “general” for general support, else, give the specific name of the Project of Attakkalari, you wish to support) *
Your answer
Bank account details of Donor (The details of bank account from which the donor plans to transfer funds. Please don’t use any other bank account for fund transfer) *
Your answer
Details / specifications of article / foreign contribution in kind(Applicable when the donor transfers some article to support Attakkalari, as contribution)
Your answer
I / we declare that the information given above are true and correct to the best of my / our knowledge. *
Please select agreed to accept the declaration and submit the form. Thank you
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service