*必須填寫 Mandatory Fields

捐 款 者 資 料 Donor Particulars

Title 稱謂*
Last Name (English):* First Name (English):*
姓氏(中文): 名字(中文):
手提電話號碼 Mobile:* 電郵 E-Mail:*
 
學生/校友編號 Student/Alumni ID:*
中大畢業年份 Year of Graduation from CUHK:*
書院/研究院 College/Graduate School:*
學位/主修 Degree/Major:*
 
郵 寄 地 址 Mailing Address:
單位/室/樓/座 Flat/Room/Floor/Block:*
大廈/屋苑名稱 Name of Building/Estate:*
街道及街號 No. & Name of Street:
區/城市/市鎮 District/City/Town:*
省份/州 Province/State
(海外地址適用 applicable for overseas address):
郵區編號 Postal Code
(海外地址適用 applicable for overseas address):
國家或地區 Country/Region:

本人不同意拓展及籌募處使用本人的個人資料向本人進行籌募推廣或活動宣傳。欲了解更多本處的個人資料政策，請瀏覽此網址 www.cuhk.edu.hk/oia/pdpao。
I do not wish to be contacted by the Office of Institutional Advancement for direct marketing purposes relating to solicitation of donations and/or promotion of activities of the University. For more details on our personal data policy, please visit our website at www.cuhk.edu.hk/oia/pdpao.

備註 Note:
  • 捐贈港幣一百元或以上可獲香港中文大學發出正式收據於香港扣減稅項。若通訊地址位於加拿大，大學會向捐贈者發出以加幣折算之正式收據，以於當地扣稅。捐款退稅收據將於六個月內郵寄至閣下的通訊地址。 Tax-deductible receipt applicable in Hong Kong will be issued by CUHK for donation of HK$100 or above. If the mailing address is in Canada, CUHK will issue Canadian dollar-denominated tax-deductible receipt applicable in Canada, for donation of any amount.
  • 所有捐款須通過大學校董會批准接受。如捐款不獲接受，大學將退款予捐贈人。 Acceptance of donation is subject to the approval of the University Council of The Chinese University of Hong Kong. All unaccepted donation will be returned to respective donor.
捐 款 收 據 Donation Receipt*:
請將捐款退稅收據郵寄至本人的通訊地址。Please send the tax-deductible donation receipt to my mailing address.
收據抬頭 Name on Receipt (請以英文填寫 In English)*
本人不需要捐款退稅收據。Tax-deductible donation receipt is not required.
   

聲明 Disclaimer

收集個人資料

拓展及籌募處所收集的個人資料，只會用於與捐款有關的各種目的，包括保存捐款紀錄及呈報大學有關部門。除非得到 閣下允許，否則本處不會向第三者披露 閣下的個人資料。

查閱及更改個人資料

閣下有權要求查閱及更改提供予拓展及籌募處的個人資料。如 閣下欲行使這項權利，請將要求以電郵或郵寄至拓展及籌募處。

地址：香港新界沙田香港中文大學行政樓LG2室
電郵：oia@cuhk.edu.hk

Collection of Personal Information

Office of Institutional Advancement (OIA) will collect personal data from you which will be processed for the purpose of donation record keeping and reporting to the University's concerned units. Any personal data OIA receives from you will not be disclosed to any third party except with your prior consent.

Personal Information Access and Correction

You have the right to request access to and (if appropriate) correction of personal data held by OIA. If you wish to exercise this right, please e-mail to oia@cuhk.edu.hk or write to us at:

Office of Institutional Advancement
Room LG2, LG/F
University Administration Building
The Chinese University of Hong Kong
Shatin, New Territories
Hong Kong