First Name *

Last Name

Email Address *

Please follow the next procedure by transfering your funds to:

Bank Mandiri Syariah
Acc No. 7.666.333.777
a/n Yayasan Lembaga GNOTA

Please confirm your donation by sending or inform your receipt to one of these confirmation procedures below:

• Send your receipt via email to pusat@gn-ota.or.id
• Fill the confirmation form here
• Contact GNOTA office at 021 3900 900 / WA 08170173900

Donation Total: Rp1.00