Tribute Donation Form | दान फारम

Provide forefather remembrance details to make your donation. All fields are large and clear for elder accessibility.

1. Donor details | दाताको विवरण

Full Name *पूरा नाम (अनिवार्य)

Mobile Number *मोबाइल नम्बर (१० अंकको)

CIT Number (Optional)नागरिक लगानी कोष नम्बर

NID Number (Optional)राष्ट्रिय परिचयपत्र नम्बर

2. Forefather Details | पितृ विवरण

Date of Birth (DOB)जन्म मिति (वि.सं./ई.सं.)

Date of Death (DOD)स्वर्गारोहण मिति

Kul Pitrik Photo Uploadपितृको फोटो अपलोड (५ एमबी भित्र)

Click or drag photo hereJPEG, PNG formats supported

Obituary Message / Tribute Card Textश्राद्ध सन्देश / श्रद्धाञ्जली सन्देश

3. Donation Details & QR | सहयोग रकम र भुक्तानी

Currencyमुद्रा

Donation Amountसहयोग रकम

LIVE PAYMENT QR

Scan to Pay: NPR 101

You can scan this QR using eSewa, Khalti, or mobile banking apps. After payment, submit the form below. Our admin team will verify it with your reference code.

I hereby declare that all the information provided is true and correct, and the uploaded photo belongs to my late ancestor.म घोषणा गर्दछु कि प्रदान गरिएको सम्पूर्ण विवरण सत्य छ र अपलोड गरिएको तस्विर मेरै दिवङ्गत पितृको हो।

Live Tribute Card Preview

श्राद्ध स्मरण श्रद्धाञ्जली कार्ड

श्रद्धाञ्जली

🪔

Late Forefather Name

Born: YYYY-MM-DD

Departed: YYYY-MM-DD

"Tribute message will appear here. Write a heartfelt obituary note..."

Donor: Guest Donor Verified Donation

This preview updates in real time as you fill out the form. Upon submission and admin verification, this card will be saved in our permanent ancestral memorial.

Quick Help | सहयोग

Make sure to fill out the Name and Mobile number properly to receive confirmation SMS.
Your donation amount will generate the payment instructions on the success page.
Upload an image of your late grandfather/grandmother to display on the tribute board.