MALAYSIAN ASSOCIATION FOR THE BLIND

PERSATUAN BAGI ORANG BUTA MALAYSIA

P. O. Box 10687, 50722 Kuala Lumpur
Jalan Tebing, Off Jalan Tun Sambanthan 4
50470 Kuala Lumpur
Tel. No: 03-22722677 Fax. No: 03-22722676
Email: info@mab.org.my

DONATION / DERMA
TAX EXEMPTED / DIKECUALIKAN CUKAI

Yes, I would like to help the Malaysian Association for the Blind by: /
Ya, saya ingin membantu Persatuan Bagi Orang Buta Malaysia dengan cara:
(Please tick where applicable / Sila tanda yang mana berkenaan)

Donation / Derma. I hereby enclose / Bersama-sama ini disertakan :

RM

Cheque / Cek No.

Postal Order / Kiriman Pos No.
Money Order / Kiriman Wang No.

Pledge / Sumbangan RM Monthly / Quarterly / Yearly /

Bulanan Suku Tahunan Tahunan

Bank account no. / Akaun no. bank : Maybank 5140 5763 7836
(Kindly fax bank-in slip / Sila faks slip perbankan)
Can we contact you / Boleh kami menghubungi anda?
Yes / Ya No / Tidak
Name / Nama:
(IN BLOCK LETTERS / DALAM HURUF BESAR)

Male / Lelaki Female / Perempuan

Address / Alamat: Company / Syarikat Home / Rumah

Postcode / Poskod:

Tel: Company / Syarikat Home / Rumah:

HP / Telefon bimbit: Fax / Faks:

Email / Emel:

All cheque / Postal Order / Money Order should be crossed A/C payee and made payable to “Malaysian
Association For The Blind”

Sumbangan melalui Cek / Kiriman Pos / Kiriman Wang mestilah berpalang dan dibayar kepada “Malaysian
Association For The Blind”

Thank You For Your Support / Terima Kasih Di Atas Sokongan Anda:
(Receipt will be issued to all donors / resit akan dikeluarkan kepada setiap penderma)

Derma ini dikecualikan daripada Cukai Pendapatan dibawah Seksyen 44(6) Akta Cukai Pendapatan No. 48
(1947. No. Ruj LHDN. 01/35/42/51/179-6.0490, Warta No. L.N. 407 bertarikh 10.6.1952.

Your donation to the Malaysian Association for the Blind is exempted from Income Tax under the Provision of
Section 44(6) of the Income Tax Ordinance No. 48 of 1947. Ref. No. IRD 01/35/42/51/179-6.0490, Gazetted
No. L.N. 407 dated 10.6.1952