Scholarships and Campus Facilities Donation Pledge for Scholarships and Campus Facilities Name of Donor (required) Address (required) City (required) State or Province (required) Zipcode (required) Country (required) Email (required) Telephone (required) Fax Thai Tax ID Yes, I hereby pledge to make a contribution to support AIT! SCHOLARSHIPS One Full Master Scholarship (Covering tuition and registration fees including living and accommodation allowances)- THB 1.2 million Named Master Tuition Scholarship & Four Semesters Registration Fee- THB 848,000 Named 24 Credits Master Tuition Scholarship & Four Semesters Registration Fee – THB 464,000 Named 24 Credits Master Tuition Scholarship & Two Semesters Registration Fee – THB 424,000 Named 12 Credits Master Tuition Scholarship & One Semester Registration Fee – THB 212,000 Named 12 Credits Master Tuition Scholarship– THB 192,000 STUDENT DORMITORY Student Village (Single donor naming per building) - 500,000 Baht Standard Dorms per room (air-conditioned, water,heater, seperate toilet and furniture) - 200,000 Baht UPDATING OF LABORATORY EQUIPMENT THB 25,000 THB 50,000 THB 75,000 THB 100,000 LIBRARY REFERENCE MATERIALS & REFURBISHMENT OF ROBERT B. BANKS AUDITURIUM THB 5,000 THB 10,000 THB 20,000 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 email@example.com) 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 firstname.lastname@example.org) 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.