<p> Part I: Project Information All rows must be filled, unless there is an exception.</p><p>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</p><p>5 Amount (in USD) $ 3750.00 6 Treasury checks: Updates to financials and FCRA. Funds to be sent updated in Yes chapter financials?</p><p>(must be in USD) Description 1) Teachers Salaries</p><p>2) Educational materials</p><p>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</p><p>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</p><p>(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)</p><p>Site visit in the last 1 year http://www.ashanet.org/projects- updated to website? new/documents/124/site_visit_report_12_08.pdf</p><p>(give URL or link name) 8 Contact details (give email addresses) Chapter Treasurer [email protected] Project Steward [email protected]</p><p>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.</p><p>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 </p><p>Part III: Money transfer via check Skip this section if you've already filled Part II.</p><p>1 Make check payable to 2 Address to send the check </p>