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EASYPAY
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BOMBAY CHARISMATIC FELLOWSHIP
INTENTION
*
Please Select
Registration for Retreats/Other Programs
Love Offering for Retreats/Other Programs
Love Offering for the Renovation of the CCR Centre
Full Name:
*
Gender:
*
Please Select
Male
Female
Date Of Birth
*
Email Address:
*
Are you a Catholic
*
Please Select
Yes
No
Do you Belong to a Prayer Group
*
Please Select
Yes
No
CCR Zones
Please Select
Andheri-East
Andheri-West
Central Zone
Chembur Zone
Kalina-Kurla Zone
Mulund/Kanjur Zone
Navi Mumbai
North A
North B
Santa-Bandra Zone
South Zone
Thane-Ambarnath Zone
Parish Name
Please Select
Prayer Group Name
Please Select
Are You Suffering from any sickness
PAN No:(only for amt Rs.10,000)
Amount
*
Mobile No
*
Verify Code
*
By submitting the form, you are agree to abide by the rules and regulations of the organizers.
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