捐赠通知书NotificationForm.PDFVIP

捐贈通知書Notification Form 我願意捐贈遺產予樂施會 ，幫助貧窮人改善生活 I would like to leave a legacy to Oxfam Hong Kong to help the poor people. 請在適當空格內填上 √ 號 Please tick the appropriate box: 我已在遺囑/保單內訂明捐贈以下遺產予樂施會 I have left the following legacy to Oxfam Hong Kong: □ 金錢捐贈 ：於本人名下的款項，捐出指定金額共港幣 $______________________________________(如屬其他幣值 ，請註明) Pecuniary legacy: Donate a fixed sum of money sum of money HK$_________________________ (Please specify if in other currency) □ 遺產餘額捐贈 ：遺產在扣除其他饋贈、稅項、支出及債務後，將餘額的全部或部分( __________________%)捐出 。 Residual legacy: Donate all or part (_________________ %) of the remainder or residue of my estate after all other gifts, taxes and debts have been paid out. Specific legacy ： □ 指定資產捐贈 本人名下的股票/債券 The stock / share _______________________% 本人名下的物業 A property of ______________________________________________________________________________ □ 保單捐贈 ：將樂施會列為其中一位人壽保險受益人，捐出全部或部份保額。 Policy giving: Name Oxfam Hong Kong as a beneficiary of my life insurance policy, and donate all or part of the sum assured. 本人捐贈之保額約為總保額之百分之_____________，即港幣 $__________________________________(如屬其他幣值 ，請註明) I would donate ________ % of the sum insured, equivalent to HK$__________________________ (Please specify if in other currency) 保險公司全名 Name of Insurance Company: __________________________________________________________________ 保單編號 Policy Number: ____________________________________ 保險顧問姓名及登記編號Agent Name Registered No.: ________________________________________________________ 個人資料 Personal Information 姓名 Name ：Mr/Ms/Mrs ________________________________________________________________________________ 先生/小姐/女士 日間聯絡電話 Dayt