Student Exchange Donation Pledge for Student Exchange Program 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! AIT Master’s Student Exchange Program with prestigious universities in the region and beyond. Master’s Student Exchange – 1,000,000 Baht -The scholarship will support maximum 2 Master students per year in 5 years period. -The student will go for one-semester academic exchanges (approx. 4 months) with prestigious universities where AIT has agreements with. -The student can be of any nationality of your choice. -The scholarship will cover half of the student's airfare and board and lodging. Master’s Student Exchange – 500,000 Baht -The scholarship will support 1 Master student per year in 5 years period. -The student will go for one-semester academic exchanges (approx. 4 months) with prestigious universities where AIT has agreements with. -The student can be of any nationality of your choice. -The scholarship will cover half of the student's airfare and board and lodging. DONATION FOR OTHER PURPOSES THB (Baht) Please specify the purpose (required) 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 oaaa@ait.ac.th) 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 oaaa@ait.ac.th) 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.