1 Project Name (As on project page)
2 Project Website
3 Chapter
4 Funds to be sent updated on website? (Y/N)
5 Proposal for these funds updated to website? (Link/name)
6 Site visit in the last 1 year updated to website? (Link/name)
7 FCRA? (Y/N/number)
8 Date of this request

Money transfer via ICICI Rupee DD
1 (Exact) Name on the account
2 Bank name
3 Branch/City DD will be payable at
4 If receiver banks with ICICI, what kind of account is it? (For
ex., NRE, FCNR, Resident Saving A/C etc.)
5 Receiver's address to send DD to
6 Receiver's landline phone number
7 (Opt.) Receiver's mobile number
8 (Opt.) email address

Money transfer via check

1 Payable to
2 Address to send the check