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一、捐款人個人資料
1. Donor Particulars
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閣下是否中大校友／學生？
Are you CUHK alumni/ student? *
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書院 College *
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如不需要收據，請填寫N/A
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二、捐款金額及用途
2. Donation Amount and Purpose
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貨幣 (捐款以港幣結算，收據僅適用於香港報稅用途) Currency (Donations are settled in HKD, and the receipt is only applicable for tax purposes in Hong Kong) *
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捐款金額 Donation amount *
$
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捐款用途 Donation Purpose *
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三、捐款方法
3. Donation Method
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請選擇一項 *
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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.)
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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. *
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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. *
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信用卡是否由恒生銀行發出?
Is the credit card issued by Hang Seng Bank? *
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Must be 16 characters. Currently Entered: 0 characters.
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Must be 3 characters. Currently Entered: 0 characters.
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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.
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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:
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四、鳴謝安排
4. Acknowledgement
書院定期於《新亞生活》及其他刊物刊登捐贈者名錄，以表謝意。
The College acknowledges donors in New Asia Life Monthly Magazine and other CUHK publications to convey our gratitudes.
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請選擇一項 *
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Disclaimer
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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.
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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
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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.