Donation Confirmation

Please fill and send this 'Donation Confirmation' form to get your donation listed at Donations page of VSSS

Eg: APANTP1 (If you can not give your VSSS ID correctly, we request you to choose 'No' in the above dropdown to give your contact details. We don't need contact details, if you can provide the correct VSSS ID)
Donor's Full Name
NOT COMPULSORY(You may give your 10 digit mobile number  to allow us to contact you. Do not add a '0' before the number)
Choose State and District(If the Donor is an NRI, Worldwide must be chosen instead of the state. Instead of district, you need to select your country)
NOT COMPULSORY (This would be useful to contact you)
Amount Donated (in Indian Rupees)
Scan of Reciept related to this donation can be uploaded here
One file only.
2 MB limit.
Allowed types: gif jpg png jpeg.
Add any more details of the payment and other istructions you wish us to add in the Donations section of this website