MESCO     MODERN EDUCATIONAL SOCIAL & CULTURAL ORGANIZATION (Registered Under the Society Registration Act 1860 & the Bombay Public Trust Act 1950)

Natalwala Building, 110, V.S. Road, Mahim, Mumbai - 400016 Tel No. : 24455365

EAS SPONSORSHIP FORM

The Executive Secretary,                                                                                No. ________________

Mahim, Mumbai - 400016.

Dear Sir,

In response to your appeal for sponsoring students under the Educational Adoption Scheme, I/We would like to join hands with you in the noble cause. I/We will be glad if you will keep me/us informed of your educational activities in future.

I/We would like to donate Rs. _________ towards sponsorship of  _________________ EAS Students by cash/cheque No. ____________ dated ___________ drawn on _________________________ .

Yours Faithfully

___________________                                                                               Date : ______________

            Signature

Particulars

Name : Mr/Mrs/Miss _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Academic Qualification : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Date Of Birth :_ _ _ _ _ _ _ _ _ _ _ Age :  _ _ _ _ _ Sex:  _ _ _ _ _  Marital Status:  _ _ _ _ _ _ _ _ _ _

Residential Address :  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Tel No. : _ _ _ _ _ _ _ _ _ _ _ _ _ _

Profession :  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Tel No : _ _ _ _ _ _ _ _ _ _ _ _ _ _

Whether connected with any other Organization  (Social/Professional) if Yes Specify : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Hobbies & Interests : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Introduced By (Name & Address) : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

FOR OFFICIAL USE

Member Admitted On : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ In Meeting Held :_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Subscription Receipt No. : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

President : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Secretary : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _