Dear Donors, due to Ministry of Culture, Community and Youth, Monetary Authority of Singapore, and United Nation due diligence regulations, we kindly request donors to complete the form. 尊敬的捐赠者，根据新加坡文化、社區及青年部、新加坡金管局和联合国的尽职调查规定，请捐 赠者填写此表格。 Sponsor Information 捐赠者资料 Full Name as per NRIC 身份证的全名 Email 邮箱号 * Residential Address 住址 Country 国家 Select a Country Origin of Funds: 资金来源： Personal savings 个人储蓄 Business income 营业收入 Option 3 Inheritance 遗产 Sales of assets 资产出售 Gift 礼物 Declaration 声明 I hereby declare that the funds donated have no link to money laundering or terrorist 我在此 声明，捐赠的资金与洗钱或恐怖主义融资无关 Verify Information Check 验证信息检查 I consent to DLFL verifying the information provided in this form as necessary. 我同意智爱基金会在必要 时验证此表格中提供的信息 PDPA declaration PDPA声明 I consent to my personal data being used by DLFL for the purpose of processing this donation and maintaining my donor record as per the organization’s privacy policy. 我同意智爱基金会使用我的个人数据来 处理这笔捐赠，并根据组织的隐私政策维护我的捐赠者记录 Submit
