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Indemnity form
1. INDEMNITY FORM
This is to confirm that I ________ will be participating in the
following activity at the time and place specified below:
Activity : Construction site visit.
Place : Sekyen 2A, Antara Gapi, Hulu Selangor, Selangor
Date : 19 November 2015
I understand that Taylor`s University will take all reasonable precautions to ensure my
safety and my property. I will not hold Taylor`s University and/or the Management
and/or the staff responsible for any loss, damage or injury suffered directly or indirectly
by myself in the course or as a result of my participation.
:
Signature :
Date :
Student No :