Sponsorship/ Contribution Application Form

BENEFICIARY PROJECT PROPOSAL

SECTION A
This part of the Application Form is intended to give us the information it needs to evaluate your
project proposal. We encourage concise descriptions which set out the key aspects of the project in
question in clear, non-technical language (and/or providing the necessary explanations, as
appropriate).
Bahagian ini adalah bertujuan untuk memberikan maklumat yang diperlukan untuk menilai cadangan projek anda. Kami
menggalakkan penerangan ringkas yang menetapkan aspek-aspek utama projek yang berkenaan dalam, bahasa bukan teknikal lagi
jelas (dan/ atau memberi penjelasan yang diperlukan, sebagaimana yang sesuai).
1 PROJECT TITLE :
Nama Projek
PROJECT CATEGORY UNDER : Community/ Environment
CORPORATE RESPONSIBILITY Kemasyarakatan / Alam Sekitar
(CR) PROJECT FOCUS
Kategori Projek dibawah focus projek CR Sports/ Sukan Education
/ Pendidikan
Arts & Culture/ Others/ Lain-lain
Seni & Budaya
2 PROJECT RATIONALE :
Rasional Projek
EXPLAIN WHY THE PROJECT IS :
NEEDED BY PROVIDING A
DESCRIPTION OF THE EXISTING
SITUATION IN THE AREA AND IN
THE COMMUNITY. HIGHLIGHT
SPECIFIC CONCERNS, PROBLEMS,
ISSUES AS WELL AS THE
OPPORTUNITIES PRESENT IN THE
AREA.
Jelaskan keperluan projek tersebut dengan
menerangkan situasi keadaan semasa di
dalam masyarakt berkaitan. Terangkan
masalah, isu-isu tertentu yang ada dan
peluang-peluang yang wujud ketika ini.
TARGET DELIVERABLES OF THE :
PROJECT– TANGIBLE AND/ OR
INTANGIBLE.
Sasaran hasil projek – ketara dan/ atau
tidak ketara.
3 PROJECT DESCRIPTION :
Perihal Projek
PROJECT DATE[S] :
Tarikh Projek
PROJECT VENUE[S] :
Tempat Projek
4 THE PROJECT’S OBJECTIVES :
Objektif-objektif Projek

PROVIDE THE ANTICIPATED AIM

AND OBJECTIVES OF THE PROJECT
Nyatakan tujuan dan objektif projek
tersebut

The Organizer is required to submit this form within three (3) days, from the date of our inquiries. Please scan the
completed form and email it to heidey.hassan@simedarby.com.
Sponsorship/ contribution of any project/ initiative is subject to the Management's discretion and approval; and we will
notify you on their feedback soon. Please allow at least four weeks for review of your proposal before we get back to you.
You should note that the information provided in your application will be used for our preliminary evaluation of the
proposal.

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 Sponsorship/ Contribution Application Form
THE PROJECT/ EVENT BENEFITS : Skip this, if it’s stated in the Letter of Application/ Request for
TO THE PUBLIC/ SOCIETY/ Sponsorship/ Abaikan sekiranya telah dinyatakan didalam surat
permohonan penajaan/rayuan sumbangan.
ENVIRONMENT
Kebaikan-kebaikan projek/ majlis kepada
umum/ masyarakat/ alam sekitar.

5 TARGET GROUPS :
Kumpulan sasar

WHAT TARGET GROUPS WILL

BENEFIT FROM THE PROJECT –
NUMBERS, INDUSTRY, ETC (IF
APPLICABLE)
Siapakah kumpulan sasar projek ini –
jumlah, industri, dsbgnya (jika berkaitan)
ESTIMATED NUMBER OF : # from State ______
PARTICIPANTS/ EVENT # from Malaysia ______
ANTICIPATED REACH # from Other Countries ______
Jangkaan jumlah peserta
IS THE PROJECT/ EVENT ⃝ Yes.
INVOLVES CHILDREN (BELOW 18
⃝ No
YEARS OLD) ACTIVITIES?
Adakah projek/ majlis membabitkan kanak-
If approved, all activities involving the children must be made in
kanak (di bawah 18 tahun)?
accordance with Sime Darby’s Child Protection Policy and in the
best interests of the child/ Jika diluluskan, semua aktiviti yang
melibatkan kanak-kanak mesti dijalankan selaras dengan Dasar
Perlindungan Kanak-kanak Sime Darby dan mengikut kepentingan
terbaik kanak-kanak terbabit
6 PROJECT PERIOD :
Tempoh projek

EXPECTED START AND END

(day/month/year)
Jangkaan mula dan tamat
(tarikh/bulan/tahun)
FREQUENCY OF PROJECT/ EVENT : ⃝ One time, only/ Sekali sahaja?
Kekerapan project/ majlis
⃝ Annual/ Tahunan?
⃝ Not annual, but recurring/ Berulang?
IS THE PROJECT AN EXTENSION : ⃝ Yes - Please provide history:
(NEW PHASE) OF A PREVIOUS
 When was it held/ Bila diadakan?
PROJECT?
Adakah pojek ini lanjutan dari projek
 Where was it held/ Di mana ianya diadakan?
sebelum (fasa baru)?  How many participants? Berapa ramai peserta?

⃝ No
7 ESTIMATED TOTAL PROJECT : RM
COSTS
Anggaran kos keseluruhan projek

The Organizer is required to submit this form within three (3) days, from the date of our inquiries. Please scan the
completed form and email it to heidey.hassan@simedarby.com.
Sponsorship/ contribution of any project/ initiative is subject to the Management's discretion and approval; and we will
notify you on their feedback soon. Please allow at least four weeks for review of your proposal before we get back to you.
You should note that the information provided in your application will be used for our preliminary evaluation of the
proposal.

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 Sponsorship/ Contribution Application Form
8 HAS THE SIME DARBY BERHAD/ ⃝ Yes. Please describe/ tick which applicable:
SIME DARBY PROPERTY BERHAD/
o Sime Darby Berhad/ Other Division(s)
OTHER DIVISIONS UNDER SIME
DARBY PREVIOUSLY SPONSORED o Sime Darby Property Berhad
THE EVENT?
Pernahkah Sime Darby Berhad/ Sime Darby
o Year:
Property Berhad/lain-lain Divisyen di bawah o Amount (RM):
Sime Darby menaja projek/ majlis ini?
⃝ No
TYPE OF SPONSORSHIP/ : In Kind Donation/ Advertisement Space/
CONTRIBUTION REQUEST FROM Barangan Ruangan Iklan
SIME DARBY PROPERTY
Jenis penajaan/ sumbangan yang dimohon Event Sponsorship/ Volunteer Hours/
dari Sime Darby Property Penajaan Program Jumlah Jam
Sukarelawan
SPONSORSHIP/ CONTRIBUTION : Amount: RM
REQUESTED FROM SIME DARBY
PROPERTY BERHAD In-Kind:
Penajaan/ Sumbangan yang dimohon dari
Sime Darby Property Berhad
IF APPROVED, WHAT WILL THE :
SPONSORSHIP/ CONTRIBUTION
BE USED FOR
Jika diluluskan, bagaimanakah penajaan/
sumbangan itu akan digunakan
LIST OF PRIVILEGES/ BENEFITS, Skip this, if it’s stated in the Letter of Application/ Request for
SIME DARBY PROPERTY BERHAD Sponsorship.
WILL RECEIVE AS A SPONSOR
i.e. media exposure, promotional benefits,
speaking opportunities, complimentary
registrations, tickets and invitations, online
promo, etc.

Senarai faedah yang bakal diterima oleh

Sime Darby Property selaku Penaja
9 OTHER SOURCES OF FINANCING :
(FOR THE PROJECT)
Sumber-sumber lain kewangan (bagi projek
ini)

LIST OTHER SOURCES OF

FINANCING INCLUDING THE LIST
OF BENEFICIARY(IES), SIZE OF
CONTRIBUTIONS (RM)
Nyatakan sumber-sumber kewangan yang
lain, termasuk senarai organisasi
penyumbang dan jumlan sumbangan (RM)

The Organizer is required to submit this form within three (3) days, from the date of our inquiries. Please scan the
completed form and email it to heidey.hassan@simedarby.com.
Sponsorship/ contribution of any project/ initiative is subject to the Management's discretion and approval; and we will
notify you on their feedback soon. Please allow at least four weeks for review of your proposal before we get back to you.
You should note that the information provided in your application will be used for our preliminary evaluation of the
proposal.

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 Sponsorship/ Contribution Application Form
10 DESCRIBE THE PROJECT’S MAIN : 1.
ACTIVITIES (in a bullet list)
Senaraikan aktiviti-aktiviti utama projek
2.
3.
4.
5.
6.
7.
8.
11 WHICH OF THE FOLLOWING : Please tick all that apply:
MARKETING AND Advertising Promotion Public Relations
COMMUNICATION ELEMENTS WILL __ TV __ Program __ Press Release
YOUR ORGANISATION BE USING __ Newspaper __ Posters __ Press
TO PROMOTE THIS PROJECT/ __ Magazine __ Brochures Conference
EVENT __ Radio __ Buntings __ Event
Elemen-elemen pemasaran dan komunikasi __ Online __ Backdrop Photography
bakal digunakan oleh Organisasi bagi
__ Other – please __ Banners __ Event Filming
mempromosikan projek/ majlis ini
list __ Invitations __ Other – please
__ Info Packs list
Broadcast __ Certificates
__ TV __ Signage Online
__ Radio __ Merchandise __ Website
__ Webcast items __ Facebook/
Streaming __ Other – please Twitter
__ Other – please list __ You Tube
list __ e-Newsletter
__ Other – please
list

12 OTHER POINTS YOU FEEL WE :

SHOULD BE AWARE OF
Any exciting ideas that will differentiate
Sime Darby Property and make our
involvement relevant for the audience.

Lain-lain perkara yang patut kami ketahui

idea-idea menarik yang akan membezakan
Sime Darby Property dan menjadikan
penglibatan kami relevan kepada para
peserta

The Organizer is required to submit this form within three (3) days, from the date of our inquiries. Please scan the
completed form and email it to heidey.hassan@simedarby.com.
Sponsorship/ contribution of any project/ initiative is subject to the Management's discretion and approval; and we will
notify you on their feedback soon. Please allow at least four weeks for review of your proposal before we get back to you.
You should note that the information provided in your application will be used for our preliminary evaluation of the
proposal.

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 Sponsorship/ Contribution Application Form
DETAILS OF ORGANISATION/ APPLICANT
SECTION B
If you do not have a specific project but intend to use the funds in some other way, please provide
details on how your organization plans to utilize the funds received. Please provide a breakdown
details.
Jika tiada sebarang projek, sila kemukakan butiran bagaimana Organisasi ini ingin menggunakan dana yang diterima dan
kemukakan penerangan butiran perbelanjaan.
1 NAME OF ORGANISATION :
Nama Organisasi
2 REGISTRATION NO :
No Pendaftaran
3 TYPE OF ORGANISATION :
Jenis Organisasi
4 ADDRESS :
Alamat

CONTACT DETAILS
Maklumat Perhubungan

Telephone No
Fax No
Website
Email Address
5 TAX EXEMPTED STATUS : ⃝ Yes. Tax Exempted No.: LHDN …………………………..
Status Pengecualian Cukai (jika ada, sila
email salinan kepada kami) ⃝ No
IS THE ORGANISATION : ⃝ Yes
REGISTERED WITH THE SOCIAL
⃝ No
WELFARE DEPARTMENT &
REGISTRAR OF SOCIETIES?
Adakah Organisasi Mendaftar Dengan
Jabatan Kebajikan Kemasyarakatan &
Pendaftaran Masyarakat?
6 IS THE ORGANISATION GOODS & : ⃝ Yes – Registration No: …………………………………….
SERVICES TAX (GST)
⃝ No
REGISTERED?
Adakah Organisasi Mendaftar Cukai
Barangan & Perkhidmatan
7 ORGANISATION OBJECTIVES :
Objektif Organisasi
8 NUMBER OF DEPENDENTS (IF ANY) :
Jumlah tanggungan, sekiranya ada
PROFILE DEPENDENTS : Age Group/ Kumpulan Umur
Profile Tanggungan
⃝ <6 ⃝ 6-12 ⃝ 13-17
⃝ 18-35 ⃝ 36-55 ⃝ >55
9 ON GOING PROGRAMMES/ :
ACTIVITIES
Program/ Aktiviti yang sedang dijalankan

The Organizer is required to submit this form within three (3) days, from the date of our inquiries. Please scan the
completed form and email it to heidey.hassan@simedarby.com.
Sponsorship/ contribution of any project/ initiative is subject to the Management's discretion and approval; and we will
notify you on their feedback soon. Please allow at least four weeks for review of your proposal before we get back to you.
You should note that the information provided in your application will be used for our preliminary evaluation of the
proposal.

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10 IS THE ORGANISATION SENT THE
SAME REQUEST TO SIME DARBY
BERHAD AND/ OR ITS
DIVISION(S)?
Adakah Organisasi ini menghantar
permohonan yang sama ke Sime Darby
Berhad dan/ atau mana-mana Divisyen
dibawahnya?
Sponsorship/ Contribution Application Form
: ⃝ Yes
– Sime Darby Berhad/ Division: ……………………………………………..
⃝ No
Please inform us and/ or we will counter check with Group Head Office
and other Divisions/ Sila maklumkan kepada kami dan/ atau kami akan
membuat pemeriksaan dengan Sime Darby Berhad dan Divisyen lain
berkenaan permohonan.

DECLARATION/ PENGESAHAN
I have read and understood the Sime Darby Property Sponsorship/ Contribution Criteria and Guidelines (as per
highlighted in www.simedarby.com/cr) and, if approved for sponsorship, I agree to comply with the noted
guidelines.

Saya telah membaca dan memahami Garis Panduan dan Kriteria Penajaan/ Sumbangan Sime Darby Property
(seperti yang dipaparkan dalam www.simedarby.com/ cr) dan, jika diluluskan untuk penajaan, saya bersetuju
untuk mematuhi garis panduan seperti yang dinyatakan.

Signed :
Name :
Designation :
Date :
Contact No :

*To all sponsorship applicants, please ensure that you have read the Personal Data Protection Act 2010
Notice before submitting your application.

The Organizer is required to submit this form within three (3) days, from the date of our inquiries. Please scan the
completed form and email it to heidey.hassan@simedarby.com.
Sponsorship/ contribution of any project/ initiative is subject to the Management's discretion and approval; and we will
notify you on their feedback soon. Please allow at least four weeks for review of your proposal before we get back to you.
You should note that the information provided in your application will be used for our preliminary evaluation of the
proposal.

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