DONATION FOR TEMPLE THIRUPANI 2021/2023

I/WE DATO/DATIN/DR/MR/MRS/ MESSER ………………………………… AGREE to

COLLECT A SUM OF RM ………………... (RINGGIT MALAYSIA ……………………...
…………………………………………………………………. ONLY).

THIS COLLECTION IS FOR THE TEMPLE THIRUPANI WORKS AS APPROVED IN

THE AGM HELD ON 03/12/2021 AT THE DEWAN, ARULMIGU SRI DEVI
KARUMARIAMMAN AND ARULMIGU SRI PERIYANA UDANAGIYA SRI
PRAGATHEESWARAR TEMPLE, ALOR SETAR.

ALL DONATIONS SHOULD BE COLLECTED ON OR BEFORE ………….. 2022 AND

THE COLLECTIONS CAN BE HANDEDOVER TO THE HONORARY TREASURER
OF THE TEMPLE. OFFICIAL RECEIPTS WILL BE GIVEN FOR ALL DONATION
RECEIVED.

THANK YOU FOR ALLOWING ME/US FOR CONTRIBUTING TOWARDS YOUR

TEMPLE THIRUPANI DONATIONS,

………………………………………

NAME : - ………………………………….. ,

NRIC : - ………………………………….. ,

CONTACT TEL. :- ………………………... ,

MAILING ADDRESS : -

………………………………………………….. ,

………………………………………………….. ,

………………………………………………….. ,

………………………………………………….. .