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// Contribution Form

Contribution Form

-THE UNIVERSITY OF MALAYA ADVANCEMENT FUND-
“Investing in the University of Malaya is Investing in the Nation’s Future”

My Contribution:
I would like to contribute to the following:(Please tick box/boxes)

1.Annual Giving/RegularDonation (Amount given on regular basis monthly or annually)

I would like to make a regular donation of:
RM10 RM50 RM100 More then RM100
Please specify : RM

per month/quarter/year (delete as applicable) for period of ............... years

2. Endowment/Major gift (One-off)

I would like to make anendowment/major giftof RM .......................

3.*Projects you wish to fund with your donation/gift

{Please tick the appropriate box (es)} √

PROJECTS TO SAVE LIVES RESEARCH PROJECTS
Cardiology Fund RESEARCH IN ENGINEERING
Primary Care Photonics Engineering Research

Breast Cancer Diagnostic Centre Human Mind Driven
Addiction Treatment : Assisted Hydrogen Refueling Station & Dispenser Control Systems
Methadone Therapy in Mosque Regenerative Biomechanics of Human Body
RESEARCH IN SCIENCE
RESEARCH CHAIRS Organic Electronics
Engineering Science A Risk Assesment of Biohazard in Shrimp Farming for Quality
Ferroelectric Thin Films and and Safety Enhancement
Nanostructures Synthetic Compounds with Potential Anti-Cancer Properties
Economics, Business, Banking & Nanostructures for Renewable Energy Application
Finance, Islamic Banking, Islamic RESEARCH IN DENTISTRY
Finance, Corporate Finance Translating Research to Clinical Applications
Clinical Craniofacial Dentistry Research Group
SCHOLARSHIPS& BURSARIES FOR Oral Cancer Research & Coordinating Centre

STUDENTS Dental Materials-Laboratory to Clinic
Scholarship & Bursaries for Students RESEARCH IN BUILT ENVIRONMENT
Diagnosing Sick Building Syndrome (SBS) in Low Cost Multi-
BUILDINGS AND FACILITIES Storey Residential Buildings

Conference Centre RESEARCH IN LANGUAGES & LINGUISTICS
Hub for Education Specialists Creating an Appropriate Environment for Brain-Based English
Language Learning at Pre-school Level

*Project details will be provided upon request

4.Projects you wish to fund other than those above, please specify :

..................................................................................................................................................................
..................................................................................................................................................................

Donor information.

Name ............................................................................................................... IC...................................................................
Mailing Address .....................................................................................................................................................................
.................................................................................................................................................................................................
................................................................................................... Email ...................................................................................
Telephone (H) ............................................................................ Mobile ................................................................................

Payment by cheque/ postal or money order should be made to: BENDAHARI UNIVERSITI MALAYA. Should you need to use online
banking transfer, please use the following account:

Bank : CIMB Bank, Malaysia
Account no. : 14400004005053
**Please send proof of payment by post, email or fax to IAC for information/documentation

Your generosity is greatly appreciated. 47