Online Donation Form
 

I/ Our Organisation would like to make a donation of HK$

(Online donation is applicable to donation of HK$100,000 or below only)

Purpose of Donation

University Development
Student Development
Scholarship/ Bursary
Research ^
Academic Development
Others, please specify:

Project/ Programme/ Activity:

^ I/ Our organisation hereby confirm(s) that there will be NO condition attached to this donation.

Type of Donor

Individual
Organisation

Donor Particular

Name(Eng)

Name(Chi)

Organisation/ Position

Email

Contact Person/ Position

Tel

Mobile

Mailing Address

Affiliation with PolyU (if applicable)

Staff
Student
Alumni

Department/ School/ Faculty

Name on Donation Receipt

(Donations of $100 or above are tax-deductible)

Donor Acknowledgement

Remain anonymous
Preferred name in donor listings:

Donors who have made cumulative donations of HK$20,000 or above to the University since November 1994 shall be honoured as a member of The Hong Kong Polytechnic University Foundation.

Declaration in relation to application of government’s matching grant

I/ Our Organisation acknowledge(s) and agree(s) that if eligible, PolyU will apply for a grant that matches this donation from the Government by submitting details of this donation.

Payment and Receipt

After submitting this form, you will be transferred to the On-line Card Payment System of The Hong Kong Polytechnic University. You can settle your donation by Visa, MasterCard or UnionPay. Upon successful donation, you will see a “Payment successful” webpage and receive a payment acknowledgement email from the Finance Office of The Hong Kong Polytechnic University. All data will be transmitted in a secure, encrypted format.

An electric donation receipt will be sent to you in due course.

Personal Data Collection Statement

Use of Personal data
Please read our Personal Information Collection Statement at www.polyu.edu.hk/aado/PICS.pdf

Use of Personal Data in Direct Marketing
The Hong Kong Polytechnic University would like to use your name, address, telephone number, fax number and email address to inform you of the following activities, services and facilities (collectively, “the marketing subjects”): Activities, seminars or workshops organised by us alone, jointly with our parties or by other parties; privileges, discounts and offers for services provided by us alone or jointly with other parties; and charitable, educational, social and other activities that solicit contributions, donations or participation. We cannot use your personal data for sending information on the above marketing subjects to you unless we have received your consent. Please tick the box below to indicate your agreement for us to use your personal data to send you information on the above marketing subjects. You may withdraw from receiving information on the marketing subjects indicated above at any time by sending an email to the Departmental Personal Data Officer at alumni@polyu.edu.hk.

I agree The Hong Kong Polytechnic University to use my personal data to send me information on the marketing subjects indicated in the Personal Data Collection Statement above.

For enquiries, please contact us at (852) 2766 4101 or email us at polyu.giving@polyu.edu.hk
PolyU Foundation: www.polyu.edu.hk/giving/polyu-foundation

 Mandatory fields