Pathankot Covid-19 donation sign up
Please fill the form for anyone who wants to donate supplies in Pathankot district-District Administration Pathankot
Sign in to Google to save your progress. Learn more
Email *
Mobile No *
Name *
Father's Name *
Address *
Can you give packed food? If yes,then how many packets can you give?(1 packet should contain 1kg daal, 5 kg aata/rice, 1 kg sugar/salt and 200 gm spices.) *
Can you give cooked food ? If yes, then for how many people daily? *
Can you donate money ? If yes,please donate to the Pathankot Red Cross account.Account Name-D.C. CUM PRESIDENT DISTRICT RED CROSS SOCIETY PATHANKOT .Bank Branch:DALHOUSIE ROAD(Pathankot).Account No. 34089495678. IFSC Code-SBIN0001290. or Email dc.pathankot@gmail.com *
Can you donate medicine? *
Can you offer vehicles/ambulance/mini-truck/truck/passangers vehicle ? If yes, please mention Vehicle No. and Type of vehicle *
Can you donate any other item? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy