Anak Angkat (Child Sponsorship) Programme

Child Sponsorship Form

Please print and complete this form and return it to WAO at the address below. If you are in Malaysia, please enclose a cheque made payable to 'Women's Aid Organisation'. For overseas sponsors, please enclose an International Money Order.

I wish to sponsor a child in need under the Women's Aid Organisation's Anak Angkat Programme.

I understand that there is no gender or race preference and I will be allocated a needy child of an ex-resident from the WAO refuge under the Anak Angkat Programme.

WAO has set the sponsorship payment at RM720.00 or USD195.00 per child per year, or RM60.00 or USD16.00 per month per child to subsidise a mother's childcare expenses. I understand that this amount is revisable at the discretion of WAO from time to time to take into account changes in the cost of living.

I hereby agree to pay _____________________________(amount (RM/USD)

for____________________________________________(number of months/year(s) and date).

I am enclosing a Cheque/International Money Order (delete as appropriate). The Cheque Number is _______________________.

I will receive an acknowledgement receipt from WAO.

Details of Sponsor

Name____________________________________________.

Company/Group (if applicable)____________________________________.

Identity Card Number (Malaysia only)________________________________.

Sex_______________.

Marital status_______________________.

Full postal address______________________________________________________

______________________________________________________

Telephone number(s) (please include international dialing codes) ___________________________________________.

Fax number_______________________________________.

Email____________________________________.

Signature of sponsor__________________________.

Date________________________.