捐赠功能界别（区议会（第二）功能界别除外）候选人的划一.PDFVIP

捐贈功能界別 （區議會（第二）功能界別除外）候選人的 劃一格式選舉捐贈收據 STANDARD RECEIPT FOR ELECTION DONATIONS TO A CANDIDATE FOR A FUNCTIONAL CONSTITUENCY (OTHER THAN THE DISTRICT COUNCIL (SECOND) FUNCTIONAL CONSTITUENCY) 2016年立法會換屆選舉 2016 LEGISLATIVE COUNCIL GENERAL ELECTION （功能界別名稱） (Name of Functional Constituency) 選舉日期：2016 年9 月4 日 Date of Election: 4 September 2016 ［附註：請用正楷填寫此收據］ [Note: Please use BLOCK LETTERS in completing this receipt] 第一部分 收據編號Receipt No. Part I 候選人姓名Name of Candidate 茲收到Received from （捐贈者姓名或名稱Name of Donor# ） 地址為of （捐贈者地址Address of Donor# ） *  現金 Cash in the sum of $ 元 *  貨品價值 Goods in the value of $ 元 *  服務價值 Services in the value of $ 元 *  貨品／服務折扣價值 Discount for goods/services in the value of $ 元 *  獲免繳的貸款利息款額 Interest not charged for loans obtained $ 元 所獲捐贈貨品、服務或折扣的詳情： Particulars of goods donated, services rendered or discounts received: 所獲選舉捐贈是為支付候選人在上述立法會換屆選舉的選舉開支。 Election donations received are to meet the candidate’s election expenses for the above Legislative Council General Election. REO/C/2(FC)/2016LC(SDF) - 1 - 候選人或接受捐贈人姓名（正楷） Name of Candidate or Recipient (in BLOCK LETTERS) （姓Surname ） （名Other name ） 候選人或接受捐贈人簽署 日期 Signature of Candidate or Reci