This Form can be saved as a image on your local PC/Laptop by Right Click on this form image and select “Save image as”.Then the form can be taken as hard printout,fill-up the form along with At-par Cheques / D D / Pay Orders can be drawn in favour of Maadhyama Dharma Samajam  payable at Chennai,Tamil Nadu,India and forward to   Maadyama Dharma Samajam, No.5A, V Floor, Kences Towers, No.1, Ramakrishna Street,North Usman Road,T. Nager, Chennai, 600017, Tamilnadu, South India.Alternatively E-transfer/NEFT can be effected to the CITY UNION BANK MAHALAKSHMI ST., T NAGAR BRANCH, CHENNAI-600 017, Current A/C No.001001000028464, IFSC Code-CIUB0000001, PAN Number-AAATM0617R.

After Making Payment Through Online or forwarded letter with Cheques / D D / Pay Orders, Please Send a mail immediately to e-mail Id of Mr.Satyanarayanan, Treasurer,psatyamds@gmail.com or admin@vathima.com/SMS may be sent to Mr.Satyanarayanan Mobile No.+919445359773.
 MDS Members Native Villages-Consolidated Details