Scholarships, Lab Equipment and Campus Facilities Donation Pledge for Scholarships, Lab Equipment and Campus Facilities Name of Donor (required) Address (required) City (required) State or Province (required) Zipcode (required) Country (required) Email (required) Telephone (required) Thai Tax ID (In case you do not have Thai Tax ID, please type "000") Yes, I hereby pledge to make a contribution to support AIT! SCHOLARSHIPS THB 1,200,000 - Named One Full Master Scholarship (Covering tuition and registration fees including living and accommodation allowances) THB 848,000 - Named Master Tuition Scholarship & Four Semesters Registration Fee THB 464,000 - Named 24 Credits Master Tuition Scholarship & Four Semesters Registration Fee THB 424,000 - Named 24 Credits Master Tuition Scholarship & Two Semesters Registration Fee THB 212,000 - Named 12 Credits Master Tuition Scholarship & One Semester Registration Fee THB 192,000 - Named 12 Credits Master Tuition Scholarship Student Village/ STUDENT DORMITORY THB 5,000,000 - Student Dormitory N&R (Single donor naming per building) THB 5,000,000 - Student Dormitory D (Single donor naming per building) THB 3,000,000 - Student Dormitory M&S (Single donor naming per building) THB 500,000 - Student Village (Single donor naming per building) THB 200,000 - Standard Dorms per room (air-conditioned, water heater, separated toilet and furniture) THB 70,000 - Standard Dorms per room (air-conditioned and water heater system) UPDATING OF LABORATORY EQUIPMENT THB 25,000 - Updating Laboratory Equipment THB 50,000 - Updating Laboratory Equipment THB 75,000 - Updating Laboratory Equipment THB 100,000 - Updating Laboratory Equipment LIBRARY REFERENCE MATERIALS & REFURBISHMENT OF ROBERT B. BANKS AUDITURIUM THB 5,000 - Library Reference Material per seat THB 5,000 - Refurbishment of Robert B. Banks Auditorium per seat THB 3,000 - Refurbishment of Milton Bender auditorium per seat DONATION FOR OTHER PURPOSES Please specify the purpose (required) Amount of Donation THB (Baht) I would like to pay by Credit CardBank Transfer Donation by Bank Transfer Bank Name: Siam Commercial Bank Public Company Limited Account Name: Asian Institute of Technology Saving A/C No.: 405-9995670 (Thai Baht and USD) Branch: Thammasart University Hospital Branch Address: 95 Moo 8, Klongnueng, Klong Luang, Pathumthani 12120, Thailand Swift Code: SICOTHBK Upload Pay-in slip (png, jpeg or jpg) (Please send the scanned copy of the pay-in slip to firstname.lastname@example.org) Cheque payable to ASIAN INSTITUTE OF TECHNOLOGY Upload Pay-in slip (png, jpeg or jpg) (Please send the scanned copy of the pay-in slip to email@example.com) Type of Credit Card VISAMASTER (Please note that Credit Card payment of more than 9,999,999 THB is not accepted by SBC payment. Please kindly use Bank Transfer.) Receipt to be issued to (required) Address Donor's name (required) For donors in Thailand, the donors can claim the donated amount as tax expense, as AIT is registered as No. 86 Non-profit organization with the Ministry of Finance.