Please fill out all red sections and post to

Bob Uppington (SHIVA charity), 19 Daventry Rd, Knowle, Bristol BS41DQ.

Babu Chiri School Fund// Monthly sponsorship Form

Your name and address ..................................................................

…………………………………………..

Your Bank/B. Society name and address ..................................................................

…………………………………………..

Alliance & Leicester bank details (SHIVA charity)

1) Sort Code 16-55-10

2) Account 00000000

3) Credit of Alliance & Leicester Building Society

4) Sum of £........./.......

Starting on ....../....../...... and on the same day each month

Until further notice.

5) Society Reference 21843570839

6) Society's customer's name SHIVA

  1. Signed.................................. Date...../....../......
  2. Your bank account number...................................
  3. Your account in the name of

............................................................