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Organisation

Organisation Name: UEN:

Contact Person

Salutation: Please select Mr Mrs Mdm Miss Dr Prof Surname: Given Name: NRIC/FIN:

*You are entitled to a tax-deduction of 2.5 times of your donation amount and it will be automatically included in your tax assessment. As such, IRAS requires you to provide your NRIC/FIN.

Contact No.: Email:

My Gift

Make this a monthly recurring donation 

Your monthly donation will take place on the third week of every month. If you have any questions, or wish to terminate your donation, please email us at finance@hcahospicecare.org.sg. Thank you.

Donation Amount

Amount:

Payment Mode

Visa/MasterCard

Remarks

Please note we DO NOT store your credit card information. Online donations using credit cards are processed through a secure payment gateway which is compliant with PCI (Payment Card Industry) Data Security Standards. All your information is converted into a token (a series of randomly-generated numbers) and the token allows payment to be processed without exposing actual account details.

I consent to HCA’s collection, disclosure and use of my personal data for official purposes and in accordance with HCA’s data protection policy (including HCA’s personal data protection act notification), the Personal Data Protection Act 2012 and any other relevant legal or regulatory requirements.

Further information on HCA’s data protection policy, including how to access or correct personal data or withdraw consent to the collection, use or disclosure of personal data is available at https://hca.org.sg/Privacy-Policy.

I give my consent to HCA Hospice Limited (UEN no. 202114297R) to update me on its fundraising events and other programmes.