Part I: Project Information

Part I: Project Information All rows must be filled, unless there is an exception.

1 Date of this request Jul 20, 2009 2 Project Name Navjyoti Swawalamban Sewa Sansthan 3 Chapter Chicago 4 Project Website http://www.ashanet.org/projects/project-view.php?p=124

5 Amount (in USD) $ 3750.00 6 Treasury checks: Updates to financials and FCRA. Funds to be sent updated in Yes chapter financials?

(must be in USD) Description 1) Teachers Salaries

2) Educational materials

3) Administrative Expenses (Office Rent, Stationary, Telephone, Travel expenses) Updated the address and Yes description on the projects tab of the financial? FCRA? (Y/N/number) Y, Asha India

Is this a new project? (yes/no) NO 7 Projects team checks: Updates to project website. Funds to be sent updated on Yes Asha website? (yes/no) Proposal for these funds http://www.ashanet.org/projects- updated to website new/documents/124/Approved_Budget_2009_2010.xls

(give URL or link name) Approval Minutes uploaded? http://www.ashanet.org/projects- new/documents/124/Approved_Budget_2009_2010.xls (give URL or link name)

Site visit in the last 1 year http://www.ashanet.org/projects- updated to website? new/documents/124/site_visit_report_12_08.pdf

(give URL or link name) 8 Contact details (give email addresses) Chapter Treasurer [email protected] Project Steward [email protected]

Part II: Money transfer via ICICI Rupee DD Skip this section if you want us to send a check to your project, and not send a rupee DD. Please note that if you have replies to 1-6 in the table below, we would recommend you to choose the DD route, as it generally works out much faster than sending a check.

1 (Exact) Name on the account Asha India 2 Bank name 3 Branch/City DD will be payable at 4 If receiver banks with ICICI, what kind of account is it? (NRE, FCNR, Resident Saving A/C, NRO etc.) 5 Receiver's address to send DD to: Please avoid all special characters other than a hyphen (-), comma (,) and a slash (/). Receiver's address line 1 Receiver's address line 2 City State Pin Code 6 Receiver's landline phone number (STD code) (Tel. No.) 7 (Optional) Receiver's mobile number Please enter ten digits only. 8 (Optional) email address

Part III: Money transfer via check Skip this section if you've already filled Part II.

1 Make check payable to 2 Address to send the check