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Pay online: Medical & Welfare Complex

 Online Donations Page «
Amount
Rs.  *
* Medical & Welfare Complex = approx. Rs. 1,036.06 (per Unit). But you are welcome to pay any amount.

Extra Information
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Customer Information (All fields are required)

Title
First Name« Please enter your
name as it appears
on your Debit/Credit Card.
Middle Initial
Last Name
Phone
Email
Street Address« Please enter your
Debit/Credit Card billing address
City
State
Zip
Country