捐款詳情 Donation Details

單次捐款 One-off Donation
由  From
至  To

捐款金額 Donation Amount

HKD 100
HKD 200
HKD 500
HKD 1,000
其他金額 Other Amount
HKD

捐款目的 Designated Use / Department

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.

捐款方式 Donation Method

銀行存款 / 銀行轉賬 / 轉數快 Bank Deposit / Bank Transfer / FPS
八達通 Octopus
PayMe
信用卡（經PayPal） Credit Card (via PayPal)
銀行存款 / 銀行轉賬 / 轉數快 Bank Deposit / Bank Transfer / FPS

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.

捐款達港幣 100 元或以上（捐贈物品除外），可獲發正式收據作報稅及存檔之用。本基金將以電郵或平郵方式寄發收據。
An official receipt will be issued for donations of HK$100 or above for tax deduction and record purposes (excluding in-kind donation), by email or surface mail.

銀行帳戶詳情 Bank Account details
帳戶號碼 Bank Account Number：
  • 518-25-01293-2 【東亞銀行Bank of East Asia】
    (銀行編號 Bank Code：015)
  • 741-820708-838 【滙豐銀行 HSBC】
    (銀行編號 Bank Code：004)
    轉數快識別碼 FPS ID：118609684
帳戶名稱 Bank Account Name：

善心醫療基金 NTWC Charitable Trust


*請留意系統僅接納特定檔案格式，包括圖像例如JPEG，PNG，GIF，TIFF, BMP以及PDF。檔案大小上限為 3MB。
*Please be reminded that only specific file formats are accepted, including images such as JPEG，PNG，GIF，TIFF, BMP and PDF. The file size limit is 3MB.
八達通 Octopus

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。於成功捐款後，請填妥以下表格再上傳付款證明。
Please scan the QR code below with your mobile phone, and make donation via the Octopus App.
After successful transaction, please complete the form below and upload a payment proof.

每項透過電子支付方式（銀行轉賬／轉數快除外）所作之捐款，本基金均需按百分比支付手續費，惟善長無需繳交任何手續費。此外，捐款金額不設上限，惟建議最低捐款額為港幣 28 元。
The Trust will be charged a percentage-based fee for any donation made via electronic payment methods (except for bank transfer／FPS). This fee is not chargeable to the donor. In addition, there is no upper limit on donations made and a suggested minimum donation amount is HK$28.

捐款達港幣 100 元或以上（捐贈物品除外），可獲發正式收據作報稅及存檔之用。本基金將以電郵或平郵方式寄發收據。
An official receipt will be issued for donations of HK$100 or above for tax deduction and record purposes (excluding in-kind donation), by email or surface mail.

二維碼 QR Code：

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.

*請留意系統僅接納特定檔案格式，包括圖像例如JPEG，PNG，GIF，TIFF, BMP以及PDF。檔案大小上限為 3MB。
*Please be reminded that only specific file formats are accepted, including images such as JPEG，PNG，GIF，TIFF, BMP and PDF. The file size limit is 3MB.
PayMe

請使用手機前往以下連結或掃描二維碼，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 Link 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.

每項透過電子支付方式（銀行轉賬／轉數快除外）所作之捐款，本基金均需按百分比支付手續費，惟善長無需繳交任何手續費。此外，捐款金額不設上限，惟建議最低捐款額為港幣 28 元。
The Trust will be charged a percentage-based fee for any donation made via electronic payment methods (except for bank transfer／FPS). This fee is not chargeable to the donor. In addition, there is no upper limit on donations made and a suggested minimum donation amount is HK$28.

捐款達港幣 100 元或以上（捐贈物品除外），可獲發正式收據作報稅及存檔之用。本基金將以電郵或平郵方式寄發收據。
An official receipt will be issued for donations of HK$100 or above for tax deduction and record purposes (excluding in-kind donation), by email or surface mail.

連結 Link：
https://qr.payme.hsbc.com.hk/2/4f9krtEHsRJ8BM825N9V7R

二維碼 QR Code：

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.

*請留意系統僅接納特定檔案格式，包括圖像例如JPEG，PNG，GIF，TIFF, BMP以及PDF。檔案大小上限為 3MB。
*Please be reminded that only specific file formats are accepted, including images such as JPEG，PNG，GIF，TIFF, BMP and PDF. The file size limit is 3MB.
信用卡（經PayPal）Credit Card (via PayPal)

平台支援PayPal賬戶、信用卡（Visa ／萬事達卡／ 美國運通卡／ Discover）及 Apple Pay。 請前往以下連結或掃描二維碼，以進行捐款。於成功捐款後，請填妥以下表格再上傳付款證明。
The platform supports for PayPal Wallet, Credit Card (Visa ／ Mastercard ／ American Express ／ Discover) and Apple Pay. Please visit the Link or scan the QR code below with your mobile phone for making a donation. After successful transaction, please complete the form below and upload a payment proof.

每項透過電子支付方式（銀行轉賬／轉數快除外）所作之捐款，本基金均需按百分比支付手續費，惟善長無需繳交任何手續費。此外，捐款金額不設上限，惟建議最低捐款額為港幣 28 元。
The Trust will be charged a percentage-based fee for any donation made via electronic payment methods (except for bank transfer／FPS). This fee is not chargeable to the donor. In addition, there is no upper limit on donations made and a suggested minimum donation amount is HK$28.

捐款達港幣 100 元或以上（捐贈物品除外），可獲發正式收據作報稅及存檔之用。本基金將以電郵或平郵方式寄發收據。
An official receipt will be issued for donations of HK$100 or above for tax deduction and record purposes (excluding in-kind donation), by email or surface mail.

連結 Link：
https://www.paypal.com/ncp/payment/MW7SYD64GLMZU

二維碼 QR Code：

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.

*請留意系統僅接納特定檔案格式，包括圖像例如JPEG，PNG，GIF，TIFF, BMP以及PDF。檔案大小上限為 3MB。
*Please be reminded that only specific file formats are accepted, including images such as JPEG，PNG，GIF，TIFF, BMP and PDF. The file size limit is 3MB.

捐款人資料 Donor Particulars

個人名義捐款 Individual Donor
機構名義捐款 Corporate Donor
匿名名義捐款 Anonymous Donor

捐款收據 Receipt

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.

不需要 Not Required
經郵寄 By Post
經電郵 By E-mail

感謝信 Thank You Letter

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.

不需要 Not Required
經郵寄 By Post
經電郵 By E-mail

授權使用個人資料
Authorisation for the Use of Personal Data

個人資料收集聲明 Personal Information Collection Statement *

本表格所收集閣下的個人資料將嚴格保密處理，並只會向善心醫療基金（下稱「基金」）及醫院管理局新界西醫院聯網（下稱「新界西聯網」）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 The Hospital Authority New Territories West Cluster Hospitals Charitable Trust (“the Trust”) and New Territories West Cluster of the Hospital Authority (“NTWC”) to use for purposes relating to donation matters and for issuing receipts.

使用個人資料作籌募推廣 Use of Personal Data for Solicitation of Donations

根據《個人資料（私隱）條例》，由於基金及新界西聯網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，但基金及新界西聯網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基金及新界西聯網的慈善工作，並同意我們使用你的個人資料為基金及新界西聯網進行慈善募捐，請於左方空格加上「✓」。
你有權隨時查閱和改正基金及新界西聯網持有關於你的個人資料。如要行使上述權利或不欲再收到基金及新界西聯網有關慈善募捐的推廣資訊，請致電2468 5464 或電郵至ntwc.charitabletrust@ha.org.hk與本基金秘書處聯絡。

Under the Personal Data (Privacy) Ordinance, the Trust and NTWC 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 the Trust and NTWC 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 the Trust and NTWC and the use of your personal data for solicitation of donations to the Trust and NTWC.
You have rights of access and correction with respect to your personal data held by the Trust and NTWC. If you wish to exercise these rights or you do not wish to receive any promotional materials on solicitation for donations to the Trust and NTWC afterwards, please contact the Secretariat of the Trust at 2468 5464 or by email ntwc.charitabletrust@ha.org.hk.

Next

在提交捐款表格前，請先核對以下資料。
Please confirm below details before proceeding to submission.

捐款資料詳情Summary of donation information

捐款詳情Donation Details
捐款金額Donation Amount
捐款目的Designated Use / Department
捐款方式Donation Method
捐款人資料Donor Particulars
捐款人稱謂
Title of Donor
捐款人姓名
Name of Donor
聯絡人稱謂
Title of Contact
聯絡人姓名
Name of Contact
捐款機構名稱
Name of Organisation
聯絡人稱謂
Title of Contact
聯絡人姓名
Name of Contact
稱謂
Title
姓名
Name
 
地址
Address
電話
Telephone
傳真 Fax
電郵
E-mail
感謝信Thank You Letter
捐款收據Receipt
授權使用個人資料Authorisation for the Use of Personal Data
我 授權善心醫療基金及醫管局收集及使用我的個人資料為善心醫療基金及醫管局進行慈善募捐。
I to give my consent to The Hospital Authority New Territories West Cluster Hospitals Charitable Trust (“the Trust”) and Hospital Authority (HA) to collect and use my personal data for solicitation of donations to the Trust and HA.
秘書處 Secretariat

醫院管理局新界西醫院聯網公共事務及籌募組

Public Affairs & Donation Management Unit, New Territories West Cluster, Hospital Authority

地址 Address: 新界屯門青松觀路23號 23 Tsing Chung Koon Road, Tuen Mun, New Territories

電話 Tel：2468 5464

傳真 Fax：2464 4643

電郵 E-mail：ntwc.charitabletrust@ha.org.hk

網址 Website： https://www3.ha.org.hk/tmh/ch/about_us/trust.asp

©    New Territories West Cluster. All rights reserved.