RMC-MyRA-Gift-Sponsorship_2018/1

BORANG PENGESAHAN PENERIMAAN HADIAH/SUMBANGAN/DERMA

CONFIRMATION OF GIFTS/CONTRIBUTION/DONATION RECEIPT FORM

MAKLUMAT SUMBANGAN/ DETAILS OF CONTRIBUTION

Nama Penyumbang : __________________________________________________________________________
Name of contributor
Maklumat Hadiah/Sumbangan/ Derma : ________________________________________________________
Description of Gift/Contribution/ Donation ________________________________________________________

Anggaran Nilai Sumbangan (RM) : ______________________________________________________

Estimated Value of Contribution (RM)
Tujuan Sumbangan : ______________________________________________________________________
Purpose of contribution ______________________________________________________________________

Tarikh Sumbangan : __________________________________________________________________________

Date of contribution
MAKLUMAT PENERIMA/ DETAILS OF RECEPIENT
Nama : ____________________________________________________________________________________
Name
Fakulti/Jabatan : __________________________________________________________________________
Faculty/Department
PERAKUAN/ DECLARATION
Dengan ini adalah disahkan bahawa segala perkara di atas adalah benar.
This is to verify that the above information is true.

Tandatangan Penyumbang: Tandatangan Penerima: Tandatangan Dekan/Ketua PTJ:

Signature of Contributor: Signature of Recepient: Signature of Dean/Head of Dept

_______________________ _______________________ _______________________

Nama: Nama: Nama:

Name: Name: Name:

Cop Rasmi: Cop Rasmi: Cop Rasmi:

Official Stamp: Official Stamp: Official Stamp:

Dokumen sokongan yang diperlukan/ Required supporting evidence:

1. Bagi hadiah dalam bentuk wang tunai, penyata kewangan perlu dikemukakan./ For cash contributions, a financial statement must be supplied.
2. Bagi hadiah bukan dalam bentuk wang, nilai hadiah perlu dinyatakan samada di dalam dokumen ATAU melalui penaksiran luar.
For non-cash contributions, the estimated value in RM must be stated clearly in a supporting document OR through external evaluation.
3. Bukti penerimaan dana atau transaksi kewangan seperti resit, penyata kewangan atau bukti Elektronik Fund Tranfer (EFT) untuk pembayaran terus kepada penyelidik.
For contributions direct to individual researchers, proof of the receipt must be in the form of a financial statement or Electronic Fund Transfer (EFT).

Tarikh dikemaskini : Mac 2018 1