《歡迎參加2019尼泊爾助學團》
【目的】
1.確保助學金確實交到貧困學生手中
2.親身考察貧困山區的情況

日期 : 2019年4月21日~28日
目的地 :尼泊爾
團費 :RM 4630【包含往返國際機票、機場稅、旅行保險、租車費、簽證、四輪驅動車、膳食(不包含機場內飲食)、住宿(兩人共 房,如要單人房,另加RM 500 )及捐贈給學生的物品 】
集合出發地點:吉隆坡國際機場 KLIA 1
報名截止日期:2019年3月18日(名額有限,先到先得)

個人資料
Personal Details
中文姓名
Chinese Name
Your answer
英文名字(如護照所示) *
English name (As show in passport)
Your answer
性別 *
Gender
年齡 *
Age
Your answer
身份證號碼 *
Identity Card Number
Your answer
郵寄地址 *
Home Address
Your answer
護照號碼 *
Passport Number
Your answer
護照有效日期 *
Passport Expire Date
MM
/
DD
/
YYYY
職業 *
Occupation
Your answer
葷食/素食 (請註明,因需特別安排膳食。) *
Non-vegetarian or Vegetarian (Please select, cause we need to do arrangement.)
聯絡電話 *
Contact Number
Your answer
電郵 *
Email Address
Your answer
衣服尺碼 *
Shirt Size
簽證
Visa
尼泊爾簽證 *
Nepal Visa
若已有尼泊爾簽證,請填寫簽證號碼、有效日期及發出地點 : **請務必電郵簽證頁和護照首頁至charitybestwishes@gmail.com,或whatapps至016-6785022。
If already had Nepal Visa, please fill in Visa Number, Visa Expired Date and Place of Issue. ***Please send a photo copy of Passport and Visa to charitybestwishes@gmail.com or Whatapps to 016-6785022.
Your answer
若沒有尼泊爾簽證,需要我們代為申辦嗎? 若需要,請將一張白色底的護照型照片和護照親手交給我們或通過快郵專遞寄給我們。 *
If you don't have Nepal Visa, do you require us to help to apply for it? If require, please send or courier one copy of passport size photo and passport to us.
緊急聯絡資料
Emergency Contact Details
緊急聯絡人姓名 (英文名字,如身份證所示) *
Emergency Contact Person (English name, as show in Identity Card)
Your answer
緊急聯絡人電話 *
Emergency Contact
Your answer
與緊急聯絡人的關係 *
Relationship between you and emergency contact person
Your answer
旅遊保險
Travel Insurance
受益人英文名字 (如身份證所示) *
Beneficiary English Name (As show in Identity Card)
Your answer
受益人身份證號碼 *
Beneficiary's Identity Card Number
Your answer
與受益人的關係 *
Relationship between you and beneficiary
Your answer
付款資料
Payment details
數額(RM) *
Amount (RM)
Your answer
支付方式 *
Payment method
若選擇支票/銀行匯票/郵政匯票,請填寫銀行名字與支票號碼/匯票號碼:
If payment by cheque / bank draft / postal order, please provide name of bank and cheque number / document number :
Your answer
若選擇銀行匯款/網上轉賬/ 現金存款,請填寫匯款日期和時間:
If payment by direct bank transfer or online banking or cash deposit, please provide transfer date and time :
MM
/
DD
/
YYYY
Time
:
請填寫相關戶頭名字與號碼:
Please provide account name and number for reference.
Your answer
留言
Remark
Your answer
付款說明
Payment Description


i. 銀行匯款 / 網上轉帳
The Trustees of Best Wishes Foundation Registered
RHB Bank 212479-00057559
**請務必將匯款單據bank in slip電郵至charitybestwishes@gmail.com

ii. 支票/銀行匯票/郵政匯票
抬頭誌明:The Trustees of Best Wishes Foundation Registered
請寄至下址:
The Trustees of Best Wishes Foundation Registered
10th Floor, Wisma Mirama, Jalan Wisma Putra, 50460 Kuala Lumpur.

【我們將在確認款項過賬以後,把正式收據電郵給您。】

欲知更多詳情,請聯絡我們:
祝福文化基金會 The Trustees of Best Wishes Foundation Registered(PPAB-22/2015)
Address:10th Floor, Wisma Mirama, Jalan Wisma Putra, 50460 Kuala Lumpur.
Tel: 016-678 5022
Email: charitybestwishes@gmail.com
Website:www.bestwishes.com.my
Facebook:www.facebook.com/bestwishes.cc
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