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Name *

Email Address *

Phone *

Do You Have Preferred District for This Donation? *YesNo

Select District *Select DistrictGwanaraIleshaOkutaYashikira

Do You Have Preferred School for This Donation? *YesNo

Name of School & Town/Village *

Select Resources *FurnitureTextbooksTablet/Laptop PCStationariesBoardSchool UniformGenerator/SolarLaboratory EquipmentOthers

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Date to Supply *

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