Field with asterisk (*) is required.

Donation Type 捐款方式

Donate Type 捐款方式*

Personal Details 个人资料

Name 姓名*

Only 1 name is allowed for tax-exemption receipt.
Email 电邮*
Contact Number 联络电话*
Tax Exempt 扣税

For Tax-Exempted Receipt 扣税捐款收据

For Recurring Donation 定期定额捐款

If tax-exempted receipt is required, please fill in the fields below, thank you!

For recurring donation, please fill in the fields below, thank you!

I/C No. 身份证号码*
Address 地址 *
Building Name 大樓名稱 *
Block No. 大牌 *
Level No. 楼层 *
Unit No. 单位号 *
House No. 門牌 *
Street Name 路名 *
Industry Area Name 工业區名稱 *
Area Name 区域名稱 *
Postcode 邮递区号 *
City 城市 *
State 州属 *
Country 国家 *

Donation Details 捐款资料

Subject 项目*
Amount 银额 (RM) *
Method of Payment 捐款方式*
Credit Card (ipay88) 信用卡 (ipay88)
Method of Payment 捐款方式*