屯門醫院網上捐款表格
Tuen Mun Hospital
Online Donation Platform
善款會用於一般病人服務。如有指定用途，請註明： The donation will support general patients' services unless otherwise specified.
閣下可將善款存入以下銀行，並於成功捐款後，上載付款收據或交易截圖（須顯示付款日期），並填妥以下表格。 You can deposit the donation into the following bank. After successful transaction, please upload bank transfer copies or the screenshot of your online payment record (with payment date) and complete the form below.
醫院管理局 屯門醫院 Hospital Authority Tuen Mun Hospital
請使用手機掃描以下二維碼，透過八達通手機應用程式進行捐款。 Please scan the QR code below with your mobile phone, and make donation via Octopus App.
請於成功捐款後，上載交易截圖 （須顯示付款日期），並填妥以下表格。 Please upload the screenshot of your online payment record (with payment date) after successful transaction and complete the form below.
請使用手機前往以下收款連結或掃描二維碼，透過PayMe手機應用程式進行捐款。於成功捐款後，請填妥以下表格再上傳付款證明。 Please visit the PayLink or scan the QR code below with your mobile phone, and make donation via PayMe App. After successful transaction, please complete the form below and upload a payment proof.
每項透過PayMe所作之捐款，本院均需按百分比支付手續費，惟捐款者無需繳交任何手續費。 The hospital will be charged a percentage-based fee for any donation made via PayMe. This fee is not chargeable to the donor.
收款連結PayLink： https://qr.payme.hsbc.com.hk/2/QCkh4XnhAMSqoFRTUKjbGo
請填妥並提交以下表格，再透過網上支付系統使用信用卡（Visa, Master Card, American Express, Discover） / 扣賬卡 / PayPal帳戶進行捐款。 Please complete and submit the following form, then make donation online through credit card (Visa, Master Card, American Express Discover) / debit card / PayPal account.
捐款可獲發收據，港幣一百元或以上可作扣稅用途。捐款收據將根據下列選項以個人芳名或機構名稱發出。 如需以郵寄方式收取收據正本，請於下方提供通訊地址。 Donation receipt will be issued for donation of HK$100 or above which is tax-deductible. The donation receipt will be issued to the name of individual or organization according to option chosen below. For receiving the original receipt by post, please also provide the correspondence address.
捐款可獲發感謝信。感謝信將根據下列選項方式發出。 如需以郵寄方式收取感謝信，請於下方提供通訊地址。 Thank you letter will be issued for donation. The thank you letter will be issued according to option chosen below. For receiving the thank you letter by post, please also provide the correspondence address.
本表格所收集閣下的個人資料將嚴格保密處理，並只會向屯門醫院及醫院管理局（下稱「醫管局」）提供，以用作與籌募相關事宜及發出收據的目的。 Your personal data collected in this form will be kept strictly confidential and made available only to Tuen Mun Hospital and Hospital Authority (HA) to use for purposes relating to donation matters and for issuing receipts.
根據《個人資料（私隱）條例》，由於屯門醫院及醫管局擬使用閣下的個人資料（即你的姓名和聯絡資料）進行慈善募捐，我們需先取得閣下的同意，但屯門醫院及醫管局在未得到你的同意之前不會如此使用你的個人資料。 如閣下願意繼續支持屯門醫院及醫管局的慈善工作，並同意我們使用你的個人資料為屯門醫院及醫管局進行慈善募捐，請於左方空格加上「✓」。 你有權隨時查閱和改正屯門醫院及醫管局持有關於你的個人資料。如要行使上述權利或不欲再收到屯門醫院及醫管局有關慈善募捐的推廣資訊，請致電2468 5464 或電郵至 ntwc.pa@ha.org.hk 與屯門醫院公共事務及籌募組聯絡。
Under the Personal Data (Privacy) Ordinance, Tuen Mun Hospital and HA need to obtain your consent as we intend to use your personal data (i.e. your name and contact data) for solicitation of donations for charitable purposes to Tuen Mun Hospital and HA but will not so use your personal data unless your consent is received. Please check the box if you agree to support the charity work of Tuen Mun Hospital and HA and the use of your personal data for solicitation of donations to Tuen Mun Hospital and HA. You have rights of access and correction with respect to your personal data held by Tuen Mun Hospital and HA. If you wish to exercise these rights or you do not wish to receive any promotional materials on solicitation for donations to Tuen Mun Hospital and HA afterwards, please contact the Public Affairs and Donation Management Unit of Tuen Mun Hospital at 2468 5464 or by email ntwc.pa@ha.org.hk.
在提交捐款表格前，請先核對以下資料。 Please confirm below details before proceeding to submission.