STATEMENT OF DESIGN AUTHENTICITY

We,
Team Name :
Institution / College :
Address :
Certify that the product design named, _______________________________________
______________________ which we have submitted to the committee of Challenge On
Product Design and Ergonomics 2014 (CHRONICS 2014) is our original brainchild on
design and not the result of any plagiarism.
If it turns out that our product design proved as a plagiarism product, as the infringer we
are willing to be automatically expelled from the competition and will be subjected to legal
proceedings based on the laws and regulation of the host country (Indonesia). In
addition, if the committee find that any information provided by the team are not valid, the
committee will automatically reject the mini proposal or disqualify the team from the
competition.
By completing and signing the statement of authenticity, we are reminded that we have
agreed to the above terms and we will have to free committee from any future indemnity
claim. We make this letter in order to be used properly.


The Declarant,



(__________________)

Validation
stamp