Donate - TATA MEMORIAL HOSPITAL

General Online Donation Form
Donation to :	TMH ACTREC
Donation From :	Individual Corporate
POSTAL ADDRESS SHOULD BE VERY CLEAR WITH POSTAL CODE, PHONE NO, PAN NO, EMAIL ID FOR SENDING THE RECEIPTS BY POSTAL ORDER (All fields are mandatory.)

*Title :
*First Name:
Middle Initial:
*Last Name :
*PAN No :
*Mobile :
Message to be printed on Receipt(optional) :

*Name of organisation :
*Contact person :
*Postal code :
*Country :
*PAN No :
*Mobile :
Message to be printed on Receipt(optional) :

*Amount :

*Do you require Income-tax exemption Certificate?

Yes No

If Yes, tax exemption required u/s :

80G 35(1)(ii)

Mode of Payment :

Bank Transfer Debit Card Credit Card

Verification Code :
Enter Verification Code: *

Donation towards :

Patient Welfare Fund Cancer Research Others

*Donation receipt in favour of :

For donations transferred within India :

Bank name :Central Bank of India

Branch :Tata Memorial Hospital

Address:Dr. Ernest Borges Road, Parel, Mumbai 400 012

Bank account No.: 1002449683

IFSC Code : CBIN0284241

MICR Code: 400016043

For donations transferred from Abroad :

Bank name : Central Bank of India

Branch : Tata Memorial Hospital

Address : Dr. Ernest Borges Road, Parel, Mumbai 400 012

Bank account No. : 1002449694

Swift Code : CBININBBOSB

Note: The receipt and exemption certificate if any will be sent by post to the address specified. Donation once made will not be refunded.

Donation to TMC	Donation to Patient/Individual	Donation to RuHI

Eligible for IT exemptions	Not eligible for IT exemptions

Donate Blood	Donate Gifts	Volunteer