Music Gift Form Medicine Science Arts & Social Sciences Corporate Donor Please send by mail: Department of Real Estate National University of Singapore 4 Architecture Drive Singapore 117566 By fax: (65) 6774 8684 By email: rstsec@nus.edu.sg We would like to make: A one-time gift of $ _____________________. An annual gift of $ _____________________ for __________ years. To support: All eligible gifts attract a 1:1 government matching grant and endowed gifts for undergraduate studies receive 1.5:1 matching. Singapore tax residents will receive a 250 percent tax deduction. AMOS KOH MEMORIAL FUND I enclose a cheque [No.:_________________] crossed and in favour of “National University of Singapore” Please charge to credit card / debit card: Visa / MasterCard / American Express Card No.: Expiry Date: ____________ (MMYY) Name of Company: ________________________________________________________________________ Tax Reference Number: _____________________________________________________________________ (To obtain a tax deduction, all corporate donors must provide their Singapore tax reference number e.g. UEN, ITR.) Name of Contact Person (Prof /Dr /Mr /Mrs /Ms): __________________________________________ (Family Name) (Given Name) Designation: ________________________________ Email: _______________________________________ Office Tel: ________________________________ Mobile Tel: ______________________________________ Mailing Address: ___________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ I do not wish to be identified as the donor of this gift in NUS publicity materials. _______________________________________________________________________________ Name of Authorised Signatory: _______________________________________________________________ Authorised Signature: ______________________________________________________________________ (We agree that our gift is subject to NUS’ Statutes and Regulations and to its Standard Terms and Conditions for gifts to the University.) Thank you for your support! If you need to contact us, call 6516-3469 www.rst.nus.edu.sg