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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 :

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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 :