囑福 - 遺產及保單捐贈計劃 | 香港聖公會福利協會捐款平台

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香港聖公會福利協會有限公司(下稱“福利協會”)將收集你的個人資料，作為處理有關網上捐款及/或慈善義賣的用途。福利協會可將你的個人資料，包括但不限於姓名、電話號碼、電郵地址、郵寄地址等，向工作上有需要知道該等資料的福利協會職員、福利協會轄下相關部門及單位、及獲福利協會委任的其他服務提供者（包括但不限於銀行）等轉移及/或披露。有關的個人資料將按《個人資料(私隱)條例》處理，不會以任何形式出售、租借或轉讓予任何人士或組織。
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.

提供個人資料予福利協會純為自願。你必須在註明(*)的欄目，提供所需的個人資料。若你未能提供足夠個人資料，福利協會可能無法處理有關網上捐款及/或慈善義賣的訂單。
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.

你需確保所提供之資料為真確。遇有任何資料上之更改，你須儘快通知福利協會作有關更新。
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《個人資料(私隱)條例》特定的豁免範圍外，你有權申請查閱及/或改正福利協會所存有關你的個人資料。查詢或提出申請可聯絡福利協會企業傳訊及市場營銷部 - 參與及夥伴組（地址：香港灣仔堅尼地道112號12樓；電郵地址：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”.

福利協會在需要時會轉移你的個人資料至第三方支付平台，以處理有關網上捐款及/或慈善義賣的訂單之用途。
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.

福利協會可能會使用你的個人資料與你保持聯繫、發送資訊及作服務推廣及宣傳、籌募、義工招募、意見收集和其他與福利協會有關活動之用途。
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.

如欲要求福利協會停止使用你的個人資料作上述用途，可聯絡福利協會的企業傳訊及市場營銷部 - 參與及夥伴組。
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.

如欲查看福利協會的《私隱政策聲明》，請按此。
Click HERE for our “Privacy Policy Statement”.

閣下的資料將會嚴格保密，您亦可以隨時更改捐贈安排。 Your information will be kept strictly confidential, and you may modify your gift arrangements at any time. (請注意：此回覆表格僅供作內部記錄，沒有任何法律效力。) (Please note: This reply form serves for internal records only and does not bear any legal implications.)
1. 背景資料 Background
您是否已訂立遺囑作遺產饋贈，或確立人壽保險捐贈計劃？（可多選）* Have you established a will for a legacy donation or a life insurance policy donation? (Select all that apply)*
是，我已訂立遺囑作遺產饋贈。（請填寫1.1部分） Yes, I have established a will for legacy donation. (Please complete section 1.1) 是，我已確立人壽保險捐贈計劃。（請填寫1.2部分） Yes, I have established a life insurance policy donation. (Please complete section 1.2) 否，我尚未訂立遺囑或確立人壽保險捐贈計劃。（請填寫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 已訂立遺囑 Will Established
捐贈類型（例如: 股票、證券、物業等） Type of Donation (e.g., stocks, securities, insurance, property, etc)
遺囑執行人姓名 Name of the Executor 遺囑執行人聯絡電話 Executor's Contact Number
律師姓名 Name of the Lawyer 律師聯絡電話 Lawyer's Contact Number
1.2 已確立人壽保險捐贈計劃 Established Insurance Policy Donation
我 I 已捐出 have donated 將捐出我人壽保險保額的 * will donate* % 給香港聖公會福利協會。 % of the insured amount of my life policy to HKSKHWC. （請選擇適用者） (Please delete if inapplicable)
保險公司名稱 Name of Insurance Company 保險代理人姓名 Agent's Name
保單號碼 Policy No. 保險代理註冊號 Agent's Registered no.
1.3 尚未訂立遺囑 Will Not Established
i. 期望的捐贈方式（可多選） Desired Method of Donation
過身後的全部財產 Total assets upon demise 指定金額（港幣） Specified Amount (in HKD) （請註明金額） (Please specify the amount) 部分財產（百分比結算） Designated Portion of Assets (Percentage) % 特定資產（例如: 股票、證券、保險、物業等） Specific assets (e.g., stocks, securities, insurance, properties, etc)

ii. 代表律師 Appointed Legal Representative 本人沒有代表律師 I do not have an appointed legal representative 本人擁有代表律師 I have an appointed legal representative
律師姓名 Name of the Lawyer 律師聯絡電話 Lawyer's Contact Number
2. 支持特定服務類別 Support a particular service or project *
一般捐款 General Donation 基層兒童 Children from Low-income Families 青少年及家庭服務 Youth and Family Services 扶貧及食物援助 Poverty Alleviation and Food Assistance 喪親家屬支援服務 Bereavement Support Services 特殊學習需要服務 Special Educational Needs Services 安老服務 Elderly Services 復康服務 Rehabilitation Services 中風復康慈惠基金 Stroke Rehabilitation Charity Fund 醫療康健服務 Medical and Wellness Services 其他 Others
3. 個人資料 Personal Information*
稱謂 Title 先生 Mr 女士 Ms 小姐 Miss
姓名（中文） Name (Chinese) 姓名（英文） Name (English)
電話號碼 Tel. no.
身份證/護照號碼 HKID/Passport no.
電郵地址 Email Address
通訊地址 Address
4. 收集個人資料聲明 Personal Information Collection Statement
1. 香港聖公會福利協會有限公司(下稱“福利協會”)將收集你的個人資料，作為處理有關網上捐款及/或慈善義賣的用途。福利協會可將你的個人資料，包括但不限於姓名、電話號碼、電郵地址、郵寄地址等，向工作上有需要知道該等資料的福利協會職員、福利協會轄下相關部門及單位、及獲福利協會委任的其他服務提供者（包括但不限於銀行）等轉移及/或披露。有關的個人資料將按《個人資料(私隱)條例》處理，不會以任何形式出售、租借或轉讓予任何人士或組織。 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. 提供個人資料予福利協會純為自願。你必須在註明(*)的欄目，提供所需的個人資料。若你未能提供足夠個人資料，福利協會可能無法處理有關網上捐款及/或慈善義賣的訂單。 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. 你需確保所提供之資料為真確。遇有任何資料上之更改，你須儘快通知福利協會作有關更新。 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《個人資料(私隱)條例》特定的豁免範圍外，你有權申請查閱及/或改正福利協會所存有關你的個人資料。查詢或提出申請可聯絡福利協會企業傳訊及市場營銷部 - 參與及夥伴組（地址：香港灣仔堅尼地道112號12樓；電郵地址：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. 福利協會在需要時會轉移你的個人資料至第三方支付平台，以處理有關網上捐款及/或慈善義賣的訂單之用途。 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. 福利協會可能會使用你的個人資料與你保持聯繫、發送資訊及作服務推廣及宣傳、籌募、義工招募、意見收集和其他與福利協會有關活動之用途。 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. 如欲要求福利協會停止使用你的個人資料作上述用途，可聯絡福利協會的企業傳訊及市場營銷部 - 參與及夥伴組。 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. 如欲查看福利協會的《私隱政策聲明》，請按此。 Click HERE for our “Privacy Policy Statement”.
請在於下欄加上‘✔’號。 Please indicate by putting a tick '✔' in the box below: 我同意福利協會將我的個人資料作上述第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. 我不同意福利協會將我的個人資料作上述第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. 不願意收取電郵資料 Prefer not to receive e-publications
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# 必須在空格內加上「✔」 # please put a "✔" in the box

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