Giving Gift Form

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Giving to

the Next
Generation
National University of Singapore
Yong Loo Lin School of Medicine

BUSINESS REPLY SERVICE


NUHS Tower Block Level 11

I am Muhammad Fadhli Bin


PERMIT NO. 08904
1E Kent Ridge Road
Singapore 119228

Mohamad Ikbal, and I am a


third year medical student.

Thank you for your generosity.


It will benefit needy students and
support meaningful education
and research efforts that will
improve the health and well-
being of Singaporeans and
the greater community.

The effect of your


giving is exponential.
paid by addressee.
Singapore only.

Postage will be
For posting in

MUHAMMAD FADHLI
BIN MOHAMAD IKBAL
Class of 2018
Scholarship recipient

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Our funding needs for 2016 and beyond. Your support makes all the difference.
Please give generously.
SINGAPORE TAX RESIDENTS WILL RECEIVE
A 250% TAX DEDUCTION FOR GIFTS MADE
A)
A Bursaries for underprivileged students GIFT / PLEDGE FORM FROM NOW TO 31 DECEMBER 2018.

MY GIFT
The School estimates that one in four students will face financial difficulties that could jeopardise their
I would like to make:
medical studies. As a school, we are committed to ensuring that no deserving student is denied a medical
education and more bursaries are required to meet the increasing need for undergraduate financial aid. A monthly* gift of $ ______________ for ______________ months.
An annual* gift of $ ______________ for ______________ years.
A named bursary can be established with a minimum expendable gift of S$45,000 or a minimum
A one-time gift of __________________________________________________________ .
endowed gift of S$150,000.
To support:
Bursaries Postgraduate Scholarships
B)
B Postgraduate Scholarships Professorships Unrestricted General Fund
Research: __________________________________________________________________
Your gift will help admit more outstanding candidates who will work on innovating solutions that will (PLEASE INDICATE AREA OF INTEREST)
Others: ____________________________________________________________________
help to improve healthcare in Singapore. (PLEASE SPECIFY)

A named scholarship can be established with a minimum expendable gift of S$45,000 or a minimum PAYMENT METHOD
endowed gift of S$150,000. I enclose a cheque [No.: _______________________________ ] crossed and in favour of
“National University of Singapore”
Please charge my credit card / debit card: Visa / MasterCard / American Express
C)
C Professorships
Card No.:
Professorships will help us to recruit and retain renowned experts to teach and mentor doctors who Expiry Date: ____________________________________ (MM / YY)
PLEASE SEAL HERE

PLEASE SEAL HERE


will shape the future of healthcare.
MY PARTICULARS
A named professorship can be established with a minimum expendable gift of S$600,000 or
I am a NUS Medicine Alumnus, Class of ________________________________________
a minimum endowed gift of S$3 million.
Name ( Prof / Dr / Mr / Mrs / Ms ): __________________________________________________
(FAMILY NAME) (GIVEN NAME)
Name of Company (for corporate donations): _______________________________________
D Research Priorities
D) Mobile Tel: _______________ Home Tel: _______________ Office Tel: _______________
Funding is needed to support collaborative research with institutions, agencies and universities that Email: _________________________________________________________________________
will improve healthcare in Singapore. Research efforts will be coordinated through some of these Mailing Address: _______________________________________________________________
centres: ______________________________________________________________________________
• Centre for Personalised and Precision Health (CPPH) I / We wish to be contacted about setting up a named bursary / scholarship / professorship.
• Centre for Health Service and Policy Research (CHSPR) I / We do not wish to be identified as the donor of this gift in NUS publicity materials.
• Centre for Functional Ageing (CFA) I / We wish to receive publications from NUS Medicine.
• Centre for Healthcare Innovation and Medical Engineering (CHIME)
NRIC / FIN / UEN: ________________________________________________________________
• National University Centre for Organ Transplantation (NUCOT) ( TO OBTAIN TAX DEDUCTION, ALL DONORS MUST PROVIDE THEIR SINGAPORE TAX REFERENCE NUMBER E.G. NRIC / FIN / UEN.)
• Centre for Medical Education (CenMED)
*  I / We
hereby authorise the University to continue to deduct monthly / annual payments from
A named research fund can be established with a minimum expendable gift of S$150,000 (minimum of the credit card indicated above, including any replacement card thereof issued to me / us,
S$50,000 per annum for three years) or a minimum endowed gift of S$625,000. until written termination is received from me / us.

Signature of donor: _____________________________________________________________


In recognition of significant gifts, the School may offer naming opportunities (programmes, buildings or (I / WE AGREE THAT MY / OUR GIFT IS SUBJECT TO NUS’ STATUTES AND REGULATIONS, AND TO ITS STANDARD TERMS AND CONDITIONS
FOR GIFTS (AS MAY BE AMENDED FROM TIME TO TIME BY THE UNIVERSITY), UPDATED FOR COMPLIANCE WITH THE PERSONAL DATA
facilities) that will allow you to leave your own legacy or honour a family member, friend, or organisation. PROTECTION ACT 2012.)

As an approved Institution of a Public character (IPC), all donations to NUS from now until 31 December
To discuss other giving opportunities, please contact:
2018 will be eligible for a 250% tax deduction.
Dean’s Office (Development), NUS YONG LOO LIN SCHOOL OF MEDICINE
TEL 6772 3737 EMAIL giving_med@nuhs.edu.sg WEBSITE http://nusmedicine.nus.edu.sg/giving

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