Request Form for Service Activities
To Rabindra Sarovar's Friends Forum
109/5A, Hazra Road, Kolkata - 700026
Organization Name: _________________________________________________
Address: _________________________________________________
_________________________________________________
Contact Person: _________________________________________________
Contact No: _________________________________________________
Activity of organization: _________________________________________________
Date of Distribution: _________________________________________________
Venue & time of Distribution: _________________________________________________
No. of Beneficiary: _________________________________________________
Banner should be made with proper display of the name of Rabindra Sarovar’s Friends Forum, Venue, Time etc
We agree to furnish the following details after the distribution of plants.
- We will give Name & Mobile no. of Beneficiaries on A4 size paper on the same day.
- We will send Photos within 2 days with a letter that the plants distributed to Beneficiaries.
- We shall take proper care of plants & their maintenance for 3 years and report will be sent every six months.
Rabindra Sarovar’s Friends Forum members may visit to check the plants.
Signature with Stamp
Name-
Date-
For office use only
We have received __________________________ Plants sent on ___________________________.