To Award Scholarships to Meritorious National and International Students

Endowments

Declaration

I , the undersigned Mr. / Mrs/Ms .--------------------------------------- do hereby declare that I am a Citizen of India and the Donation of Rs. -----------------------------------(in words) that I am offering to Symbiosis Society Foundation Endowment vide cheque/ demand draft no. -----------------dated -------------drawn on (Bank) --------------------------is being given from my source of income in India.

Name: ----------------------

Address: -----------------------

Date: -----------------------



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