All fields marked with (*) are mandatory Payment Purpose: Please designate my payment for* ----Select---- Donation Zakat Payee Information First Name * Last Name * Email * Address * Country * ----Select---- Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia (Plurinational State of) Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte D'Ivoire Croatia Cuba Cyprus Czech Republic Democratic People's Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe State/Province * Select Country First City * Postal/Zip code * Phone (eg. 923001234567) * Payment: Currency * ----Select---- PKR - Pakistani Rupee USD - United States Dollar GBP - British Pound EUR - European Union Euro AED - United Arab Emirates Dirham Amount * Disclaimer: Dow University of Health Sciences (DUHS) endeavor to utilize your contribution as per your preference indicated. However, we may utilise the contribution for any other approved programme of the Dow University of Health Sciences. A small portion of funds raised may also be used to defray the direct costs of fundraising, including a small percentage charged by credit card companies on each transaction. How do we protect your information? Dow takes privacy and security seriously. HBL hosts Dow's online giving. To prevent unauthorized access, maintain data accuracy, and ensure the appropriate use of information, we have put in place physical, electronic, and managerial procedures to safeguard and secure the information you provide to us online. Your debit/credit card number will be used only for that particular transaction and will not be stored. You will notice our domain name starts with an 'https'. This means that the information entered on this form is encrypted for your security. Please note that there will be no transaction charges by our bank; however, the remitting bank may charge you a separate fee against your transaction. You will receive an acknowledgement along with an official receipt for your contribution. If you have any questions regarding the security of your information, please write to us at support@duhs.edu.pk or contact us at 0092 21 111 113 847 Managed by Resource Mobilization Office - DUHS.