Donation Form Your contribution can help save lives through awareness and compassion. Total Volunteer 70 Total fund Raised ₹0.5mn Current Campaigns 3 Register Now Personal Information Full Name* Date of Birth* Gender*Gender*MaleFemaleOther Blood Group*Blood Group*A+B+A-B-AB+AB-O+O- Professional*Professional*StudentWorking ProfessionalBusiness OwnerNGO / Social WorkerHomemakerRetiredOther Contact Details Mobile Number* Email Address* City / Location* State* Address* Donation Details Donation Amount*Donation Amount*₹500₹1,000₹2,500₹5,000₹10,000Other Amount: Enter donation amount ₹ ________ Donation PurposeDonation PurposeOrgan Donation AwarenessEye Donation AwarenessBody Donation AwarenessBlood Donation CampsAwareness CampaignsEducational Material DistributionGeneral Support Preferred Payment Method*Preferred Payment Method*UPIBank TransferDebit / Credit CardNet BankingOther Alternative Donation Method ( Bank Transfer / UPI ) Bank Details Bank Name: State Bank of IndiaBranch: Gokuldham, Goregaon, MumbaiAccount Name: Sanjeevani Charitable TrustA/c No: 33465201295IFSC Code: SBIN0006055 ✅ Eligible for tax benefits under 80G & 12A Enter Transaction ID ( If made online payment on Bank or UPI ) Tax Benefit Information 80G donation receipt80G donation receiptI would like to receive an 80G donation receipt PAN Number (Required for 80G Receipt) Consent & Declaration Kindly check for declarationKindly check for declarationI confirm that the information provided is accurate.I understand that donations are voluntary and subject to the organization’s refund policy.I consent to receive updates regarding campaigns, events, and awareness initiatives. submit request
