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5sgd
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Monthly Donation Amount
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DONOR INFORMATION
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NRIC / FIN No. (required for automatic tax-deduction)
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Date of Birth (DD/MM/YYYY)
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By filling this donation form, it is deemed that I have consented for Assisi Hospice to use my personal information for donation-related and communication purpose.
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PAYMENT INFORMATION (Credit/Debit Card)
Card Holder Name
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