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 (門牌,路名 House No,Street Name)*
Address 地址 (住宅區名稱 Taman/Resential Name)*
Address 地址 (其它/大樓名稱 Other/Building Name)*
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*