DONOR DECLARATION

I want to Gift Aid my current donation and any donations I may make in the future or have made in the past 4 years to Al-Ansari Foundation.

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than
the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay
any difference.

I will notify Al-Ansari Foundation of any change in my personal circumstances, such as name and address, or that I no longer pay UK Income or Capital Gains tax or I wish to cancel the declaration.