CHARITY BAZAAR ONLINE FORM

Name of the Donor*

Age*

Mobile number*

Email ID

Address

Passport size photograph of the donor

How did you hear about us?
WebsiteMediaFriendOther

Would you like to receive The Cherian Foundation Newsletter through email to know about our other activities?
YesNo

Can we have your consent to publish your name, photograph and comments in our website/ social media/ events and campaigns?
YesNo

If yes, please upload your photograph

Type of Materials you have donated
New itemsGently Used Items

Note: - We do not accept medicines or perishable items.

In order to track your donated materials. Provide the Courier Company Tracking Number?

Or you may drop off donation Materials:

@ The Cherian Foundation, No: 38, Melony Road, T-Nagar Chennai-6000 017

For Enquiry Contact: Mr. Charles: 9566000976

Comments (If Any)

Declaration
I hereby confirm that all information provided by me under Form is true and correct to the best of my knowledge.I hereby confirm that I am making this donation out my free will and I am lawfully competent to sign and execute this form.I hereby confirm that neither I nor my representatives shall hold The Cherian Foundation Liable for any claims or loss that may arise on account of (a) my consent accorded under this Form or (b) my donations made to the Charity Bazaar.I hereby confirm that (a) I am the lawful owner of the materials and items donated by me to the Charity Bazar and (b) all materials/ goods donated by my are not illegally procured products. Further if any claim is made on The Cherian Foundation with respect to the ownership of such goods/ materials I shall indemnify The Cherian Foundation for such loss.I hereby confirm that I shall be bound by the Privacy Policy and the Terms and Conditions of The Cherian Foundation made available at https://cherianfoundation.org/tcf-privacy-policy/ andhttps://cherianfoundation.org/terms-and-conditions/.I hereby confirm that the consent accorded by me for the use of my photograph and name for the sole purpose of the Charity Bazar drive in social media platforms is out of my own free will.