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) Fax 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 For student exchange scholarship will be for a minimum of five years and will support 2 students per year (1 student per semester into two semesters per year for a total of 2 students per year). The students can be of any nationality of your choice. Each student will have the opportunity to do a one-semester academic exchanges with a globally recognized prestigious university. If there are no qualified students in a given semester, then the contribution will be carried forward to the next semester. Master’s Student Exchange – 500,000 Baht For student exchange scholarship will be for a minimum of five years and will support 1 student per year at Baht 100,000. The students can be of any nationality of your choice. Each student will have the opportunity to do a one-semester academic exchanges with a globally recognized prestigious university. If there are no qualified students in a given semester, then the contribution will be carried forward to the next semester. Amount of Donation THB (Baht) Please specify the purpose (required) I would like to pay by ChequeCredit 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 oadv@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 oadv@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 transfer by Cheque or 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.
