Donations – PPKI

Be Stronger Together

PERTUBUHAN PENGGERAK KOMUNITI IMPIAN (PPKI)

DONATION PLEDGE FORM

Your help is our hope to make a difference in a child's life.

The suggested amount is RM200 which covers the tuition fees of one student for one month. Of course, any amount is greatly appreciated, even small gifts will make a big difference in a child's life. PPKI will issue official receipts for all donations received. All Information shall be subjected to the Personal Data Protection Act 2010 and PPKI's Personal Data & Privacy Policy Notice displayed on our website.

Please tick where applicable

RM 200RM 500RM 1,000Other amount

This contribution is for

One-timeMonthlyAnnually

Personal/Corporate Information

Individual/Company Name (as per ID/SSM)

Company Rep. Name

NRIC / BRN
(for IRB purpose)

Address

Contact Number

Email Address

Mode of Payment

ChequeBank Transfer

Cheque

Cheque Payable to: PERTUBUHAN PENGGERAK KOMUNITI IMPIAN

Note: Please write your full name, address and contact number at the back of the cheque.

Cheque No.

Bank

Bank Transfer

Payee Name:
PERTUBUHAN PENGGERAK KOMUNITI IMPIAN

Bank:
Public Bank Berhad

Account No:
3219975030

Note: After making the bank transfer, please email / WhatsApp the transaction slip with the completed form