Donation Form - Volunteer Befrienders

All donations $50 and above are entitled to 250% tax deduction. (i.e. $50 x 250% = $125 tax deductible). Your donation will be made out to Brahm Centre Ltd (UEN 200200167M).

Question Title

* 1. Address

Name as in NRIC/FIN

NRIC/FIN No.

Address

Address 2

ZIP/Postal Code

Email Address

Contact No.

I would like to donate the following reimbursements/payments due to me, to Brahm Centre Limited: Befriender’s Transport Claim

Question Title

* 2. Please issue the tax deduction receipt in favour of: (if information is different from above)

Name as in NRIC/FIN

NRIC No.

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 3. This standing order is until/for:

3 months

6 months

1 year

Till further notice

Other (please specify date until dd/mm/yyyy)

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* 4. Yours sincerely (to be filled up by the befriender):

Befriender's Name

Effective Date : dd/mm/yyyy

(Please Note: You will be required to sign the hardcopy of this form the next time you come for a Befrienders' Meeting or Training.)

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* 5. (For Official Use only)

Name

Witness Date

Signature