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| Country:* |
(Currency
Converter) |
Amount:* |
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INR (Indian Rupees)
Minimum Rs.100 USD (US Dollars) |
Approx INR:
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PAN/TXN Id:*
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(* If Amount >= Rs.20,000/-)
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| Passport Number:*
Expirty Date: |
(* If Amount >= Rs.20,000/-)
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Name:* |
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| Father Name:* |
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| Address :* |
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| City
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| State:* |
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| Zip/Pin code:* |
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| Phone:* |
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| Comments: |
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| Your
Email:* |
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I here by confirm that i am an Indian citizen
and contributing the above amount voluntarly to Telugudesam Party
out of my own resources.
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I am at least 18 years old.
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I am an Indian Citizen and I am contributing to Telugudesam Party out of my own resources.
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This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.
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This contribution is not made from the funds of a political action committee.
This contribution is not made from the treasury of an entity or person who is a federal contractor.
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This contribution is not made from the funds of an individual registered as a federal lobbyist or a foreign agent, or an entity that is a federally registered lobbying firm or foreign agent.
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The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.
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(Important Legal and Regulatory requirements) |
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* For any questions related to online contributions please contact: |
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Telugudesam State Office
NTR Bahvan,
Road#2,
Banjara Hills,
Hyderabad-500033.
Phone: 040-30699859
E- Mail: contribute@telugudesam.org |
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