Level 3, Faculty of Law, 13 Law Link, Singapore 117590

DONATION FORM

This form may take you 5 minutes to fill. Please send the completed donation form to : Attention: Alumni Relations & Development Faculty of Law, National University of Singapore, 469G Bukit Timah Road Eu Tong Sen Building, Singapore 259776  Your cheque should be crossed and made payable to “National University of Singapore”.

 I would like to make a one- time donatio n of : S$  I would like to make a pledge of : S$ for Please  the direct my Faculty of donation Law Lee to: Sheridan Legal Education Fund  the following specific fund: (A) Mode of Donation  Cas h: I in cash hereby enclose the amount of S$  Ch eque: I Bank / hereby Cheque enclose No. a crossed cheque for S$ made payable to “NATIONAL UNIVERSITY OF SINGAPORE”.

All donations attract a matching government grant and enjoy 250% income tax deduction for Singapore income tax purposes in 2014. If you have any queries, please feel free to contact Alumni Relations & Development, Faculty of Law at Tel: 6516 3616 or Fax: 6779 0979 (Please remember to write “Faculty of Law” on the back of your cheque. If you are donating to a specific fund, please also write the name of the fund.)  Cre dit Card: I. I would like to donate throug h my credit card accoun t (Visa / Master card) the amount of S$ II. I would like to donate through my credit card account (Visa / Mastercar d) the amount of S$ monthly effective from the ______day of ______month ______year for ______months.

Card No.

Expiry M M Y Y Date

(B) Particulars of Donor  Individual Donor: (Mr/Mrs/Miss/Ms/Prof/Assoc Prof/Asst Prof/Dr) IC / Passport (for tax exemption No. purposes)

 Alu (Year of Degree(s) ) mnus Graduation: Conferred:  NUS Faculty of Law Staff  Friends of NUS Faculty of Law

 Corpora te Donor: Contact Job Person: Title: (C) Contact Details Level 3, Faculty of Law, 13 Law Link, Singapore 117590 Tel: (65) 6874 1305 / 6874 3604 Fax: (65) 6779 0979 Website: http://law.nus.edu.sg/ Mailing Address:

Contact No(s): (O) (H) (Hp) Fa Ema x: il:

Signature Dat : e:

(I agree that my gift is subject to NUS’ Statutes and Regulations, and to its Standard Terms and Conditions for Gifts, updated for compliance with the Personal Data Protection Act 2012.)

Level 3, Faculty of Law, 13 Law Link, Singapore 117590 Tel: (65) 6874 1305 / 6874 3604 Fax: (65) 6779 0979 Website: http://law.nus.edu.sg/