CATHOLIC SYRO-MALABAR EPARCHY OF GREAT BRITAIN

Registered Charity No: 1173537

Charity Gift Aid Declaration – Multiple Donation

Please fill in BLOCK CAPITALS:-
In order to Gift Aid your donation you must tick the box below:
I want to Gift Aid my donation of £______________ and any donations I make in
the future or have made in the past 4 years to:
Name of Charity: CATHOLIC SYRO-MALABAR EPARCHY OF GREAT BRITAIN
I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in
the current tax year than the amount of Gift Aid claimed on all my donations it is my
responsibility to pay any difference.
My Details
Title _____________ First name or initial(s) _______________________________
Surname _______________________________
Full Home address _____________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Postcode _________________________Signature ____________________________
Date: _____________________
Parish/Mission Centre:
(With Place & Region)
Please notify the charity if you:
 want to cancel this declaration
 change your name or home address
 no longer pay sufficient tax on your income and/or capital gains
If you pay Income Tax at the higher or additional rate and want to receive the additional tax
relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax
return or ask HM Revenue and Customs to adjust your tax code.