Scholarship Pledge Form

Graduate School of Pan-Pacific International Studies

Kyung Hee University

Kindly submit a photo of the completed pledge form via mobile phone to 1599-3892(text messages only), or email it to give@khu.ac.kr

Donor Info.	Full Name				Registration Number			(Required)
	Phone				E-mail					Issuance of Receipt
	Address (Mailing Address)
	Affiliation with Kyung Hee University (Multiple Choice)
Pledge Info.	Total Pledged Amount	KRW(				)	Recommender
	Payment Schedule	From 20 / / Monthly payment of KRW( ) for a total of ( ) installment(s)
	Purpose of Donation	Designated Development Fund (Usage: Graduate School of Pan-Pacific International Studies Scholarship Fund)
Donation Method	Bank Transfer	Bank Account No.		KEB Hana Bank 428-141962-19304 (Account Holder: Kyung Hee University / 경희대)
		Depositor’s Name

* Consent to Collection, Use, and Provision of Personal Information

We sincerely thank you for your generous support and interest in Kyung Hee University.

The Office of External Affairs at Kyung Hee University seeks your consent to collect and use your personal information for the purpose of scholarship donation agreements, in accordance with 『Articles 15 and 22 of the Personal Information Protection Act』.

Your personal information will be strictly protected under the Act and will not be disclosed or shared with any third party without your explicit consent.

1. Notification on the Collection and Use of Registration Number

In accordance with Article 208-3, Paragraph 1, Subparagraph 1 of the Enforcement Decree of the Income Tax Act, your registration number is collected and used for the issuance of donation receipts for tax deduction purposes.

Personal Information	Purpose of Use	Legal Basis
Registration Number	Tax deduction processing for donation	Article 208-3 of the Income Tax Act Enforcement Decree (Requirement to prepare and retain donation receipt records)

2. Notification on the Collection and Use of Other Personal Information

According to Article 15, Paragraph 1, Subparagraphs 2 and 3 of the Personal Information Protection Act, the following personal information may be collected and used without your separate consent.

Personal Information	Purpose of Use	Legal Basis
Name, Address, Donation (Pledge) Information [Date, Amount, Purpose (Details)]	Processing of university development fund and tax deduction	『Article 19 of the Enforcement Decree of the Act on the Collection and Use of Donations』, 『Article 208-3 of the Income Tax Act Enforcement Decree』

3. Consent to Collection and Use of Optional Personal Information

You have the right to refuse consent for the collection and use of optional personal information. Refusing to consent to optional items will not affect your ability to make a donation (pledge).

Personal Information	Purpose of Use	Retention Period
Phone Number, Email, Affiliation with Kyung Hee University, Recommender, Donation Method	Donation (pledge) processing, invitations to donation events, and donor recognition	Duration of services provided by Kyung Hee University

Consent to the Collection and Use of Personal Information	I agree		I do not agree

I hereby agree to the above terms regarding the pledge and the collection, use, and provision of personal information.

Date:   20    /      /                  (YYYY / MM / DD)

Donor:                                          (Signature)