Fundraiser

Fundraising online on Sahyog Care

Name :

Mobile * :

Email * :

Address :

Pincode :

( For the Family whoose single earning member patients/family expired due to covid )

Number of the Single earning member (expired) :

Aadhar Number of the Single earning member (expired) :

Death Report :

Contact Person Name :

Mobile :

Income proof of Family :

Category :( BPL )

Amount Required :

Targeted Date :

Description :