嘱福 - 遗产及保单捐赠计划 | 香港圣公会福利协会捐款平台

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香港圣公会福利协会有限公司(下称“福利协会”)将收集你的个人资料，作为处理有关网上捐款及/或慈善义卖的用途。福利协会可将你的个人资料，包括但不限於姓名、电话号码、电邮地址、邮寄地址等，向工作上有需要知道该等资料的福利协会职员、福利协会辖下相关部门及单位、及获福利协会委任的其他服务提供者（包括但不限於银行）等转移及/或披露。有关的个人资料将按《个人资料(私隐)条例》处理，不会以任何形式出售、租借或转让予任何人士或组织。
Hong Kong Sheng Kung Hui Welfare Council Limited (“the Welfare Council”) will collect your personal data for processing your online donation and/or purchase orders for charity. The Welfare Council may, where applicable, transfer and/or disclose your personal data, including but not limited to name, telephone number, email address and mailing address on a need-to-know basis to the staffs, relevant units and/or centres of the Welfare Council, and other service providers (including but not limited to banks) who are appointed by the Welfare Council. The personal data will be handled in accordance with the Personal Data (Privacy) Ordinance, and will not be sold, rented or transferred in any form through any means to any other persons or entities.

提供个人资料予福利协会纯为自愿。你必须在注明(*)的栏目，提供所需的个人资料。若你未能提供足够个人资料，福利协会可能无法处理有关网上捐款及/或慈善义卖的订单。
Provision of personal data is voluntary. Please note that it is mandatory for you to provide personal data marked with asterisks. In the event that you do not provide sufficient personal data, the Welfare Council may not be able to process your online donation and/or purchase orders.

你需确保所提供之资料为真确。遇有任何资料上之更改，你须尽快通知福利协会作有关更新。
You have to ensure the accuracy of all the personal data supplied. Please notify the Welfare Council of any change of your personal data as soon as possible.

除《个人资料(私隐)条例》特定的豁免範围外，你有权申请查阅及/或改正福利协会所存有关你的个人资料。查询或提出申请可联络福利协会企业传讯及市场营销部 - 参与及夥伴组（地址：香港湾仔坚尼地道112号12楼；电邮地址：donation@skhwc.org.hk）。
Save and except the exempted circumstances specified under the Personal Data (Privacy) Ordinance, you have the right to request access to and/or correction of your personal data held by the Welfare Council. For enquires or application, please contact our Corporate Communications and Marketing Department at “12/F, 112 Kennedy Road, Wan Chai, Hong Kong” or “donation@skhwc.org.hk”.

福利协会在需要时会转移你的个人资料至第三方支付平台，以处理有关网上捐款及/或慈善义卖的订单之用途。
The Welfare Council may transfer your personal data to the third-party payment platform(s) for the purpose of processing your online donation and/or purchase orders if necessary.

福利协会可能会使用你的个人资料与你保持联系、发送资讯及作服务推广及宣传、筹募、义工招募、意见收集和其他与福利协会有关活动之用途。
The Welfare Council may utilize your personal data for communicating with you, delivering news and information, and for the purposes of service promotion, fundraising, volunteer recruitment, conducting surveys and other activities associated with the Welfare Council.

如欲要求福利协会停止使用你的个人资料作上述用途，可联络福利协会的企业传讯及市场营销部 - 参与及夥伴组。
If you wish to request the Welfare Council to cease using your personal data for the above purpose, please contact our Corporate Communications and Marketing Department.

如欲查看福利协会的《私隐政策声明》，请按此。
Click HERE for our “Privacy Policy Statement”.

阁下的资料将会严格保密，您亦可以随时更改捐赠安排。 Your information will be kept strictly confidential, and you may modify your gift arrangements at any time. (请注意：此回覆表格仅供作内部记录，没有任何法律效力。) (Please note: This reply form serves for internal records only and does not bear any legal implications.)
1. 背景资料 Background
您是否已订立遗嘱作遗产馈赠，或确立人寿保险捐赠计划？（可多选）* Have you established a will for a legacy donation or a life insurance policy donation? (Select all that apply)*
是，我已订立遗嘱作遗产馈赠。（请填写1.1部分） Yes, I have established a will for legacy donation. (Please complete section 1.1) 是，我已确立人寿保险捐赠计划。（请填写1.2部分） Yes, I have established a life insurance policy donation. (Please complete section 1.2) 否，我尚未订立遗嘱或确立人寿保险捐赠计划。（请填写1.3部分） No, I have not yet made a will or established a life insurance donation. (Please complete section 1.3)
1.1 已订立遗嘱 Will Established
捐赠类型（例如: 股票、证券、物业等） Type of Donation (e.g., stocks, securities, insurance, property, etc)
遗嘱执行人姓名 Name of the Executor 遗嘱执行人联络电话 Executor's Contact Number
律师姓名 Name of the Lawyer 律师联络电话 Lawyer's Contact Number
1.2 已确立人寿保险捐赠计划 Established Insurance Policy Donation
我 I 已捐出 have donated 将捐出我人寿保险保额的 * will donate* % 给香港圣公会福利协会。 % of the insured amount of my life policy to HKSKHWC. （请选择适用者） (Please delete if inapplicable)
保险公司名称 Name of Insurance Company 保险代理人姓名 Agent's Name
保单号码 Policy No. 保险代理注册号 Agent's Registered no.
1.3 尚未订立遗嘱 Will Not Established
i. 期望的捐赠方式（可多选） Desired Method of Donation
过身后的全部财产 Total assets upon demise 指定金额（港币） Specified Amount (in HKD) （请注明金额） (Please specify the amount) 部分财产（百分比结算） Designated Portion of Assets (Percentage) % 特定资产（例如: 股票、证券、保险、物业等） Specific assets (e.g., stocks, securities, insurance, properties, etc)

ii. 代表律师 Appointed Legal Representative 本人没有代表律师 I do not have an appointed legal representative 本人拥有代表律师 I have an appointed legal representative
律师姓名 Name of the Lawyer 律师联络电话 Lawyer's Contact Number
2. 支持特定服务类别 Support a particular service or project *
一般捐款 General Donation 基层儿童 Children from Low-income Families 青少年及家庭服务 Youth and Family Services 扶贫及食物援助 Poverty Alleviation and Food Assistance 丧亲家属支援服务 Bereavement Support Services 特殊学习需要服务 Special Educational Needs Services 安老服务 Elderly Services 复康服务 Rehabilitation Services 中风复康慈惠基金 Stroke Rehabilitation Charity Fund 医疗康健服务 Medical and Wellness Services 其他 Others
3. 个人资料 Personal Information*
称谓 Title 先生 Mr 女士 Ms 小姐 Miss
姓名（中文） Name (Chinese) 姓名（英文） Name (English)
电话号码 Tel. no.
身份证/护照号码 HKID/Passport no.
电邮地址 Email Address
通讯地址 Address
4. 收集个人资料声明 Personal Information Collection Statement
1. 香港圣公会福利协会有限公司(下称“福利协会”)将收集你的个人资料，作为处理有关网上捐款及/或慈善义卖的用途。福利协会可将你的个人资料，包括但不限於姓名、电话号码、电邮地址、邮寄地址等，向工作上有需要知道该等资料的福利协会职员、福利协会辖下相关部门及单位、及获福利协会委任的其他服务提供者（包括但不限於银行）等转移及/或披露。有关的个人资料将按《个人资料(私隐)条例》处理，不会以任何形式出售、租借或转让予任何人士或组织。 Hong Kong Sheng Kung Hui Welfare Council Limited (“the Welfare Council”) will collect your personal data for processing your online donation and/or purchase orders for charity. The Welfare Council may, where applicable, transfer and/or disclose your personal data, including but not limited to name, telephone number, email address and mailing address on a need-to-know basis to the staffs, relevant units and/or centres of the Welfare Council, and other service providers (including but not limited to banks) who are appointed by the Welfare Council. The personal data will be handled in accordance with the Personal Data (Privacy) Ordinance, and will not be sold, rented or transferred in any form through any means to any other persons or entities. 2. 提供个人资料予福利协会纯为自愿。你必须在注明(*)的栏目，提供所需的个人资料。若你未能提供足够个人资料，福利协会可能无法处理有关网上捐款及/或慈善义卖的订单。 Provision of personal data is voluntary. Please note that it is mandatory for you to provide personal data marked with asterisks. In the event that you do not provide sufficient personal data, the Welfare Council may not be able to process your online donation and/or purchase orders. 3. 你需确保所提供之资料为真确。遇有任何资料上之更改，你须尽快通知福利协会作有关更新。 You have to ensure the accuracy of all the personal data supplied. Please notify the Welfare Council of any change of your personal data as soon as possible. 4. 除《个人资料(私隐)条例》特定的豁免範围外，你有权申请查阅及/或改正福利协会所存有关你的个人资料。查询或提出申请可联络福利协会企业传讯及市场营销部 - 参与及夥伴组（地址：香港湾仔坚尼地道112号12楼；电邮地址：donation@skhwc.org.hk）。 Save and except the exempted circumstances specified under the Personal Data (Privacy) Ordinance, you have the right to request access to and/or correction of your personal data held by the Welfare Council. For enquires or application, please contact our Corporate Communications and Marketing Department at “12/F, 112 Kennedy Road, Wan Chai, Hong Kong” or “donation@skhwc.org.hk”. 5. 福利协会在需要时会转移你的个人资料至第三方支付平台，以处理有关网上捐款及/或慈善义卖的订单之用途。 The Welfare Council may transfer your personal data to the third-party payment platform(s) for the purpose of processing your online donation and/or purchase orders if necessary. 6. 福利协会可能会使用你的个人资料与你保持联系、发送资讯及作服务推广及宣传、筹募、义工招募、意见收集和其他与福利协会有关活动之用途。 The Welfare Council may utilize your personal data for communicating with you, delivering news and information, and for the purposes of service promotion, fundraising, volunteer recruitment, conducting surveys and other activities associated with the Welfare Council. 7. 如欲要求福利协会停止使用你的个人资料作上述用途，可联络福利协会的企业传讯及市场营销部 - 参与及夥伴组。 If you wish to request the Welfare Council to cease using your personal data for the above purpose, please contact our Corporate Communications and Marketing Department. 8. 如欲查看福利协会的《私隐政策声明》，请按此。 Click HERE for our “Privacy Policy Statement”.
请在於下栏加上‘✔’号。 Please indicate by putting a tick '✔' in the box below: 我同意福利协会将我的个人资料作上述第6段所述用途。 I agree to the use of my personal data by the Welfare Council for the purposes set out in Clause 6 above. 我不同意福利协会将我的个人资料作上述第6段所述用途。 I do not agree to the use of my personal data by the Welfare Council for the purposes set out in Clause 6 above. 不愿意收取电邮资料 Prefer not to receive e-publications
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# 必须在空格内加上「✔」 # please put a "✔" in the box

多谢! Thank you!

多谢! Thank you!

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