Donation in support of incoming exchange students

Please complete this donation form in English. Answers to the questions marked with * are required.

Title

Prof.
Dr
Ir
Mr
Mrs
Ms
Miss

Name

Name of organization


Position

Office phone No.

Mobile phone No.

Email

Your preferred use of the donation

Scholarship for any FCE incoming exchange students
Scholarship for FCE incoming exchange students from: (Please specify below)

I would like to donate HK$

Schedule of payment

One-off Donation
By Installments

I would like to pay the above donation by

Cheque (Please make the cheque payable to “The Hong Kong Polytechnic Universityand send to the Faculty of Construction and Environment, ZS1201, 12/F, South Tower, Block Z, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.)
Credit Card (Applicable to donation of HK$100,000 or below only) (We will contact you to provide the credit card information.)