DONOR LODGE - REGISTRATION FORM

Lodge

Amount

REMITTANCE PARTICULARS

Payment Type

Cheque/DD/Online Transaction No

Bank Name

INSTRUCTIONS

Cheque should be drawn in favor of RGLSI AIM 2024

In case of payment by Cheque / Demand Draft, kindly mention your Lodge Name and number on the reverse of the Cheque / DD

BANK ACCOUNT FOR REMITTANCE

Name of A/c : RGLSI AIM 2024
Bank : Kotak Mahindra Bank
Branch : Trichy Road, Coimbatore
A/c Type : Current A/c
A/c No. : 1348 3238 13
IFSC Code : KKBK0008664