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Declaration of Acceptance of Charitable Death Donations
Please kindly fill in the information below for the purpose of documentation and proper dealings at the UKMSHAPE Student Welfare Department.
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* Indicates required question
Applicant information
Name of Applicant (UPPERCASE)
*
Your answer
Passport Number
*
Your answer
Email
*
Your answer
Total Donations Received
*
300
500
2,000
Total Contribution In Words
*
THREE HUNDRED ONLY
FIVE HUNDRED ONLY
TWO THOUSAND ONLY
Information of the Deceased
Name of the Deceased (UPPERCASE)
*
Your answer
Deceased Passport Number
*
Your answer
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