Child Sponsorship Project Registration Form - Letchworth Dhamma Nikethanaya Buddhist Academy Meditation Centre

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Please fill all the sections. Please update with any changes in the future.

I would like to support the Child Sponsorship Project of Dhamma Nikethanaya Buddhist Academy & Cultural Centre for Education, Meditation, Psychotherapy & Counselling by being a member of the Child Sponsorship Project.

Monthly Standing Order for child to sponsor

Donation to support the project activities

Donating School Uniforms and materials

Or any other

I would like to Set Up A Bank Standing Order

I would like to make regular one off donations

I like to visit Sri Lanka as a Volunteer

I like to be Fundraising Ambassador

Thank you for thinking to support us...

Child Sponsorship Project In Sri Lanka - Letchworth Dhamma Nikethanaya Buddhist Academy.

Setting Up a Regular Standing Order is the best way to help. If you like you can make a regular Standing Order for the centre as part of membership. This can be any amount as you like. Please use the following bank details: Account name: Letchworth Dhamma NikethanayaAccount No: 10993387 Sort Code: 20 – 41 – 12 Bank Address: Barclays Bank, Letchworth Branch,North Herts Group, 5/6, High StreetHitchin Hertfordshire. SG5 1BJ. Please put your full name as bank reference. Please mention below if you like to do it.

Full Name with title: Mr/Miss/Mrs or Other *

Date of Birth *

YYYY

Email *

Address with Postcode *

Mobile *

Landline

Name of Next of Kin (In Case of Emergency)

Contact Number of Next of Kin (In Case of Emergency)

Our Centre and all programmes are based on Equality Policy which anyone can be participated without any prejudices: In respect of that, we should be grateful if you could provide following details: participated without any prejudices: In respect of that, we should be grateful if you could provide following details: How would you best describe your country of origin or Ethnicity:

Nationality

Profession (Occupation: If this is a self-developed enterprise please describe briefly)

Faith/Religion/Belief

What do you expect by supporting this project and course?

14. Wold you like to Gift Aid your donation: If so please mention below. Declaration: Letchworth Dhamma Nikethanaya International Centre For Education, Meditation, Psychotherapy and Counselling (LDN) is a registered Charity. If you are a UK taxpayer, completing this declaration by ticking the box, will increase your donations by 25% at no cost to you. Please say YES or NO to the following statement. "I am a UK taxpayer and would like the Letchworth Dhamma Nikethanaya to treat all donations I make on or after 6th April 2000 as Gift Aid donations, and that the Letchworth Dhamma Nikethanaya can claim gift aid on my behalf. "

Yes

Clear selection

Data-Protection: Your information will be treat as confidential to improve our better understanding about you. We would like to retain your information, if you do not wish us to do so, please indicate accordingly: Yes/No

Yes

Clear selection

I wish to register as a member of the Child Sponsorship and support its good courses. I would like to receive regular updates. Please write / sign your name and the date

Please send us a text message or whatsapp message to say that you have filled this form. Otherwise reply could be delayed. Our mobile numbers: 07944 13 53 14 or 07983 466 105 or email us: buddhistacademy@gmail.com Thank you for registering.

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