國立中山大學管理學院捐款單 NSYSU College of Management Donation Form

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基本資料 Personal Details

捐款人姓名 Name of Donor *

身分證字號 Personal ID Number/ARC Number/Passport Number *

填寫本欄，將協助上傳捐款資料至國稅局，可簡化所得稅申報。

聯絡電話 Phone Number *

電子信箱 Email Address *

通訊地址 Mailing Address *

服務單位 Company/Institution *

職稱 Title *

身分別 Identity *

教職員工 NSYSU Faculty and Staff

社會人士 General Public

企業團體 Business Organization

其他 Others

校友 NSYSU Alumni

若為校友，請問您的畢業年分(西元)、系所/班級？If you are NSYSU alumni, what is the year of graduation and your department/institute/class?

捐款收據與徵信調查 Donation Receipt and Publication Agreement

捐款收據 Name of Recipient *

以個人名義開立收據(可作為扣抵所得稅之用) Same as Donor(s)

以公司名義開立收據 Designated recipient, e.g. your company/organization

若以公司名義開立收據，請提供公司抬頭：If you choose the designated recipient, please provide its name.

是否同意本校將姓名、捐款金額及用途刊登於相關網站或刊物上？Do you consent to allow your name, donated amount and designated use to be published on the NSYSU website or campus publications under the principle of public disclosure? *

同意 Agree

不同意 Do not agree

捐贈用途與捐款金額 Donation Details

捐款用途 Designated Use *

管院校友會 Alumni Association, College of Management

管館理學院圖資11樓國際會議廳維護 Maintenance of the International Conference Hall, 11th Floor of the Info-Library Building

管院薪傳獎助學金 Torch Passing Scholarship, College of Management

管院薪傳學海圓夢國際交流獎助學金 HSIN-CHUAN Dreams Fulfillment and International Exchange Scholarship, College of Management

財團法人友友錦祿教育基金會獎助學金 YUYU CHIN LU Education Foundation Scholarship

鍾金福先生紀念獎學金 Chin-Fu Chung Memorial Scholarship

元大清寒優秀人才獎學金Yuanta Scholarship for Outstanding Underprivileged Talent

管理學院玉山學術獎 E.SUN Academic Award

Other:

捐款金額：新台幣__________元整 Donation Amount:_____________ (New Taiwan Dollar, NTD) *

捐款方式 Ways to Give

◆現金:
請將現金送交(或以現金袋寄送)國立中山大學校管理學院4055室
◆支票:
1.支票抬頭指名為「國立中山大學」，並請加劃橫線「禁止背書轉讓」
2. 請將本捐款單及支票，掛號郵寄至國立中山大學校管理學院4055室
◆電匯臨櫃作業:
本校校務基金專戶—台灣銀行高雄分行　(銀行代碼：004 0118)
戶名：國立中山大學校務基金401專戶帳號：011-036032059
◆信用卡

※填畢本表單後，本院將有專人聯繫您，處理捐款相關事宜，並約於扣款完成後三週內寄發收據。若有任何問題，請來電與本院聯繫，(07)525-2000#4527

◆Cash: Please complete this Form and submit the amount to NSYSU College of Management Room4055 to make donations.
◆Check:
1. Please make checks payable to "National Sun Yat-sen University" and complete this Form. 2. Send both the check and Form by registered mail to NSYSU College of Management Room4055.
◆Wire Transfer:
BANK NAME：BANK OF TAIWAN KAOHSIUNG BRANCH
BANK ADDRESS：NO. 264 CHUNG CHENG 4TH ROAD, KAOHSIUNG CITY, TAIWAN, ROC
BENEFICIARY'S NAME：National Sun Yat-sen University Endowment Fund 401
ACCOUNT NO.：011-036032059
◆Credit Card

Once this form has been submitted, you will be contacted by phone soon to check your information and make further arrangements. If you have any questions, please contact us:
(07)525-2000#4527
alumni@cm.nsysu.edu.tw

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