支持新亞合唱團 - 新亞書院捐款表格 "Support New Asia Chorus" - New Asia College Donation Form

支持新亞合唱團 - 新亞書院捐款表格 "Support New Asia Chorus" - New Asia College Donation Form

衷心感謝您的慷慨支持！請填寫以下捐款表格。

如有查詢，歡迎與我們聯絡：

高級書院發展主任　張君恒先生　電話：3943-9680 　電郵：kelvin@cuhk.edu.hk

備註：
註#1: 捐款港幣一百元或以上，可獲收據申請於香港扣稅。
註#2: 每年累計捐贈額達港幣一萬元之人士/ 機構芳名將刊載於新亞書院有關刊物。
註#3: 捐贈港幣五萬元或以上之人士/ 機構芳名將永誌於本院的電子版「捐款人士及機構芳名匾」上。
註#4: 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。

We sincerely appreciate your generous support. Kindly complete the donation form below at your convenience.

Should you have any inquiries, please do not hesitate to contact us:

Senior College Development Officer　Mr. CHEUNG Quan Hang Kelvin　Phone: 3943-9860　Email: kelvin@cuhk.edu.hk

Note:
Note#1: Donations of HK$100 or more will be issued with a Hong Kong tax-deductible receipt.
Note#2: Name of donor/organization donating accumulated HK$10,000 or above in a year will be published in the relevant publications of the New Asia College.
Note#3: Name of donor/organization donating HK$50,000 or above will be embedded in the College’s electronic “Donor Recognition Plaque”.
Note#4: 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.

一、捐款人個人資料
1. Donor Particulars
稱謂 Salutation
中文姓名 Chinese Name (Please fill in your English name if you do not have one.)
英文全名 FULL Name in English
閣下是否中大校友／學生？
Are you CUHK alumni/ student?

閣下是否中大校友／學生？ Are you CUHK alumni/ student? 是 Yes（請提供畢業年份/修業年級及主修 Please provide Graduation Year / Year of Study and Major）否 No
書院 College

書院 College 新亞書院 New Asia College 其他 (請填寫) Others: 其他 (請填寫) Others:
畢業年份/修業年級（校友／學生適用）
Year of Graduation (Alumni/ Student)
主修（校友／學生適用）
Major (Alumni/ Student)
收據抬頭（請以英文填寫）
Name to appear on the receipt (in English)

如不需要收據，請填寫N/A
通訊地址（以寄發香港退稅適用之正式收據）Address (for mailing the receipt)
聯絡人名稱(如與捐款人不同)
Contact person (if the name is different from the donor, please state)
聯絡電話 Phone no.
聯絡電郵 Email address
二、捐款金額及用途
2. Donation Amount and Purpose
捐款金額 (港幣$) Donation amount in HK$
捐款用途 Donation Purpose

捐款用途 Donation Purpose 增資「新亞學生培育基金」For enriching "New Asia Student Enrichment Fund"

書院將以「新亞學生培育基金」名義支持本院學生參與「新亞合唱團」活動
The College will make use of the “New Asia Student Enrichment Fund” to support students’ participation in the New Asia Chorus
如多於一項捐款用途，請詳列分配方法
If the donation purpose is more than one, please indicate the allocation
三、捐款方法
3. Donation Method
請選擇一項

請選擇一項 轉數快 FPS - 詳情載於下方
Please refer to the information below. 劃線支票 Crossed Cheque
支票抬頭請寫「New Asia College」，並於背面註明捐款人姓名、聯絡電話及捐款用途，郵寄至「香港新界沙田香港中文大學新亞書院誠明館一樓院務室102室」。閣下無需列印表格，書院同仁將合併網上紀錄。
Payable to “New Asia College” for HKD donation. Please state the Donor Name, Contact number and Donation Purpose on the back of the cheque, and mail to "Rm 102, Cheng Ming, Building, New Asia College, The Chinese University of Hong Kong, Shatin, N.T. (no need to print the donation form, we will combine the online record.) 信用卡 (銀行將收取新亞書院1.5% 行政費) Credit Card (The bank will charge the College 1.5% commission fee)
請填寫下列信用卡資料授權新亞書院進行交易。
電子支票 E-cheque
支票抬頭請寫「The Chinese University of Hong Kong」，並電郵至 nacgift@cuhk.edu.hk。
Please prepare an e-cheque payable to “The Chinese University of Hong Kong”, and e-mail to "nacgift@cuhk.edu.hk".
信用卡付款資料 Credit Card Information

（只接受VISA 或 Master Card。銀行將向書院收取手續費，但捐款人則不需繳交任何手續費）
(Only VISA or MasterCard are accepted. There are bank charges to the College for all credit cards. Donors do not need to pay any of these fees.)
您願意額外捐贈1.5%以支付交易費用嗎？這樣，您期望的捐贈金額將能直接支持相應項目。
Giving Option: Please consider chipping in an additional 1.5% so 100% of your intended donation amount goes to us.

您願意額外捐贈1.5%以支付交易費用嗎？這樣，您期望的捐贈金額將能直接支持相應項目。 Giving Option: Please consider chipping in an additional 1.5% so 100% of your intended donation amount goes to us. 捐贈 101.5% - 書院將獲原定支持金額
Donate 101.5% - The College will receive your intended amount of donation 不額外捐贈 1.5% - 銀行將向書院收取交易費用。
Do not donate extra 1.5% - The bank will charge the college a transaction fee.
本人授權香港中文大學新亞書院從以下信用卡戶口，按以下資料扣除上述之捐款金額(包括手續費)，並以港幣折算。

I authorize New Asia College, The Chinese University of Hong Kong to deduct the above donation amount (including handling fees) from the following credit card according and convert it into Hong Kong dollars.

本人授權香港中文大學新亞書院從以下信用卡戶口，按以下資料扣除上述之捐款金額(包括手續費)，並以港幣折算。 I authorize New Asia College, The Chinese University of Hong Kong to deduct the above donation amount (including handling fees) from the following credit card according and convert it into Hong Kong dollars. 同意
信用卡是否由恒生銀行發出?

Is the credit card issued by Hang Seng Bank?

信用卡是否由恒生銀行發出? Is the credit card issued by Hang Seng Bank? 是否
持卡人姓名：(須與卡上名字相同)
Cardholder's Name
信用卡號碼（16位數字，只接VISA 或Master Card）：
Card No. (16 digits, only accept VISA or Master Card)
Must be 4 characters. Currently Entered: 0 characters.
Must be 4 characters. Currently Entered: 0 characters.
Must be 4 characters. Currently Entered: 0 characters.
Must be 4 characters. Currently Entered: 0 characters.
信用卡驗証碼 CSC No.
Must be 3 characters. Currently Entered: 0 characters.
有效日期至(月/年) Expiry Date (MM/YYYY)
支票存入 / 銀行轉帳 Cheque deposit / Direct transfer

請將捐款 (支票) 存入本院以下恒生銀行之帳戶：

Please support us by direct transfer to the following bank account:

銀行名稱: 恒生銀行 (024)
Name of Bank: Hang Seng Bank (024)

戶口號碼 Account no.: 283-178788-001

戶口持有人 (支票抬頭) Account holder (Payee Name for Cheque): The Trustees of New Asia College

完成入帳後請將銀行入數紙（正副本皆可）或網上銀行轉帳紀錄（能清楚顯示轉帳銀碼、日期及時間）在此上載
Please upload the bank-in slip here.
支票存入 / 銀行轉帳紀錄上載 Upload bank-in slip by Cheque deposit / Direct Transfer (檔案最大為5MB
Maximum file size is 5MB)

Attach Files
FPS 付款資料 Faster Payment System

請使用已啟動轉數快 (FPS) 服務的手機應用程式，將款項轉賬至轉數快 ID︰108126681進行交易。完成後請在此上載成功捐款之交易記錄：

Please transfer the donation to the “FPS ID” : 108126681. Plesae upload the screen capture of the related transaction here:
FPS 付款帳戶持有人之英文名稱
FPS account holder's name
FPS 付款：上載成功捐款之交易記錄 (檔案最大為5MB)
Please upload the screen capture of the related transaction history here (Maximum file size is 5MB)

Attach Files
四、鳴謝安排
4. Acknowledgement

為表謝意，書院會於《新亞生活》及其他中大刊物刊登所有捐贈者（不論金額）之姓名，惟不會公開捐款金額。
To express our gratitude, the College publishes the names of all donors—regardless of the donation amount—in New Asia Life and other CUHK publications. Donation amounts are not disclosed.
請選擇一項

請選擇一項本人欲以中文全名刊載於有關刊物 (新亞校友之畢業年份及主修亦會被刊登) Acknowledgement with Chinese full name. (The graduation year and major of New Asia alumni will also be acknowledged.) 本人欲以「無名氏」身份刊載於有關刊物 As an anonymous donor 本人欲以以下名稱刊載於有關刊物 Please use the name below for acknowledgment
Disclaimer
Collection of Personal Information

I agree the above personal data provided to New Asia College, the Chinese University of Hong Kong, would be updated in the database maintained by the Chinese University of Hong Kong (the University) and used for the University contact with me and promotion of latest news (including any events and functions to be held, courses to be organized, solicitation of donations, discount, benefit and service offers, and other alumni affairs related activities). If I am a member of The New Asia College Alumni Association (The Alumni Association of New Asia College, The Chinese University of Hong Kong, Limited), the above data would also be updated in the member database of this association.

Collection of Personal Information I agree the above personal data provided to New Asia College, the Chinese University of Hong Kong, would be updated in the database maintained by the Chinese University of Hong Kong (the University) and used for the University contact with me and promotion of latest news (including any events and functions to be held, courses to be organized, solicitation of donations, discount, benefit and service offers, and other alumni affairs related activities). If I am a member of The New Asia College Alumni Association (The Alumni Association of New Asia College, The Chinese University of Hong Kong, Limited), the above data would also be updated in the member database of this association. Do not agree
Personal Information Access and Amendment

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

New Asia College
The Chinese University of Hong Kong
Shatin, N.T.
Hong Kong
Disclaimer The personal data collected will be used by New Asia College (NA) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.