16, Banaji House,
N. Contractor Baug,
3rd Floor, Mori Road, Mahim,
Mumbai 400 016.
dtd:- June 12, 2018
E Mail: firstname.lastname@example.org
Dear Sir, Madam
SUB: FINANCIAL ASSISTANCE FOR MY TREATMENT
I, the undersigned, Zarir K. Daruwalla, aged 35 years, wish to put forth my case for financial assistance to enable continue with my treatment for cancer.
I was diagnosed with a high grade Type B Non-Hodgkins Lyphoma which is a type of cancer in September 2017. I was hospitalized in P.D. Hinduja Hospital & Medical Research Centre in Mumbai for 6 months for the treatment for which I had incurred a cost of Rs.13 lacs. This amount was covered through my mediclaim and with the kind support of my family and friends. In addition, to enable cover the cost, the World Zoroastrian Organization had very kindly granted a sum of Rs. One lac for the treatment.
I wish to inform you that until August 2017 I was working at J. P. Morgan Chase Pvt. Ltd. drawing a salary of Rs. 42,000per month approx. I stay with my mother who has toiled all her life in bringing me up. She was working in a small private firm and has retired two years back. Until last year I used to take care of my grandfather as well.
I have been advised further treatment to ensure it does not relapse, for which in April 2018 have incurred an expenditure of Rs.1.87 lacs (copies of bills can be sent) for various tests carried out in the P.D. Hinduja Hospital to ensure I have the fitness and immunity to undergo further treatment.The treatment recommended which would enable me live for a long time is Dendritic Cell Therapy by Dr. Jamal Khan. The cost for this treatment will be approximately Rs.4 to 5 lacs as per the estimate enclosed herewith.
Even today, I am not able to sit or stand for a long time and am very weak. As this treatment has stretched for more than nine months now, I have lost my job as well though the company was kind enough in supporting me to the extent they could to retain my job.
I have used all my savings and since I have no funds to continue with the treatment, I have out forth my case for your kind consideration. I shall be indeed indebted to you if you could kindly assist in granting financial assistance to the best extent you can, which would immensely help me continue with the treatment which would tremendously give me with the will to live and lead a normal life.
In case you require any further documents to support my case, I am most willing to do so.
I shall be grateful if you could kindly consider my case sympathetically and look forward to receiving your favourable response.
My bank particulars are:
Name: Zarir Kersi Daruwalla
Name of the bank: HDFC Bank
Account No. 50100153274264
IFSC Code: HDFC0000411
Branch: Malad (West), Mumbai
Address of the Bank: HDFC Bank, China Link, Ground Floor,
Opposite Goregaon Sports Club, Link Road,
Malad (West), Mumbai 400 064.
Thanking you, I remain,