Please tick and fill in as appropriate
請於適當空格點擊或填寫資料

Personal Information 個人資料

Full Name
姓名:
Student ID No.
  學生證:
HKID No. (first 3 digits)
  香港身分證號碼:
  (首3位數字)


Email
電郵:
Contact Phone
聯絡電話:
Correspondence Address
通訊地址:


Job Title
職位:
Company Name
公司名稱:

Donation 捐款

Use of Gifts (Please choose one designation) 捐款用途 (請選擇一項)



# To maximise the use of your contribution to CityU, 10% of your gift will be allocated to support University general development including capital projects.　

大學將由　閣下的捐獻撥出百分之十用作大學發展用途包括基建項目，以達致城大整體發展的最大效益。

I agree that the University may apply for the Government matching grant with my donation whenever appropriate; and wish that my donation and any available matching grant be used for general University development.

如政府推出配對補助金計劃，我同意香港城市大學就此捐獻向政府作出申請，所有捐獻連同任何補助將資助大學發展。


Giving Type 捐款方式

Giving Duration 捐款年期

Giving Amount 捐款金額

Notes:
  • Monthly / annual donations will be debited to the credit card account below.
  • Receipts will be issued by the University for donations of $100 or more for tax deduction purpose.
  • Please indicate "Anonymous" if you prefer not to be acknowledged in the "Alumni Giving Club" website.
註︰
  • 每月/每年捐獻將由以下信用卡支付。
  • 凡捐款達$100 港元或以上，大學將發出收據供捐款者作扣稅安排。
  • 除非註明為「不記名」，所有「校友捐獻會」會員的姓名將刊載於捐獻會的網頁上，以作鳴謝
Anonymous 不記名:
Remarks
備註:

Gift by Credit Card 以信用卡捐款

Other Ways of Giving
其他捐款方法
Other Ways of Giving
其他捐款方法
Card Holder's Name
持卡人姓名:
Card Number
信用卡號碼:
(either Visa or Master Card)
Visa或萬事達卡
- - -
(e.g. 4234-1234-1234-1234)
Expiry Date
有效期:

(e.g. 09 / 2019)
Card Security Number
信用卡驗證碼:
(the last 3 digits indicated on the signature panel at the back of the credit card 顯示在信用卡背後的簽名欄的最後3位數字)

Thank you for your support !
謝謝您的慷慨支持!

 

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* Information provided in this form will be kept confidential and used by the University for record and communication purposes. If you do not wish to receive direct mails on donation from CityU, please send your request by writing to alumgiving@cityu.edu.hk.

* 閣下提供的個人資料將絕對保密，並只供城大作紀錄和聯絡之用。倘若不欲再收取有關大學募捐之資料，請以電郵通知校友聯絡處 (alumgiving@cityu.edu.hk)。


Enquiry 查詢: (852) 3442 5930
Fax 傳真: (852) 3442 0668
Email 電郵: alumgiving@cityu.edu.hk