SAO –EOL FORM-03

EXEMPTION OF LIABILITY
In consideration of INTI International University (“INTI IU”) agreeing to organize, arrange and carry out the
following event stated below :

Name of School / Institution: INTI International University

Event / Activity Title:
....................................................................................
(said “Event”),
Date:
....................................................................................
Time:
....................................................................................
Venue:
………........................................................................

1. I/We, the participant(s) whose name(s) is/are in stated below, hereby I/we :-

a. am/are aware that the said Event involves activities both physical and emotional.

b. confirm that I am/we are more than 18 years of age and willingly agree to such attendance.

c. DECLARE that I/we have been advised and informed by INTI IU Reps regarding the importance
and necessity of obtaining possessing personal accident insurance coverage for myself/us.

d. absolutely absolve and exempt INTI IU, its officers, its staff and agents (collectively referred as
“INTI IU Reps”) completely from any loss, damages, claims, costs, liabilities or personal injuries
whatsoever suffered by me/us due to any mishaps, accidents, injuries or incidents howsoever
caused (whether or not due to omission, negligence, breach of duty or breach of contract by
INTI Reps) during the said Event in which I am/we are attending/participating.

e. UNDERTAKE that I/we shall jointly and severally indemnify and keep harmless INTI IU Reps for
any loss, claims, damages, costs and personal injury claims what whatsoever incurred due to
and arising from my/our participation in the said Event.

f. confirm that my/our signature on this Exemption of Liability is also intended to bind my/our
successors, heirs, representatives, administrators and assigns.

g. understand that any recording by INTI IU Reps may be used by INTI IU for commercial,
educational and promotional purposes.

Adult Participants – Liability Exemption Form 1

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Non-Disclosure
2. I/We further,
a. Understand and agree that all activities, materials, concepts and information presented
(“Activities’) during the said Event whether verbally, or in writing are the property of INTI IU.

b. Agree that while I am/ we are welcome to benefit from such material/the said Event, I/we shall
not disclose, reproduce, copy, duplicate, resell, reproduce or in any way exploit any Activities for
commercial purposes.

Name & ID/Passport No. of Participants Signature of Participants

1. Name:

ID/Passport No.:

2. Name:

ID/Passport No.:

3. Name:

ID/Passport No.:

4. Name:

ID/Passport No.:

5. Name:

ID/Passport No.:

6. Name:

ID/Passport No.:

7. Name:

ID/Passport No.:

8. Name:

ID/Passport No.:

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9. Name:

ID/Passport No.:

10 Name:
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ID/Passport No.:

11 Name:
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ID/Passport No.:

12 Name:
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18 Name:
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19 Name:
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ID/Passport No.:

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20 Name:
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21 Name:
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22 Name:
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23 Name:
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27 Name:
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29 Name:
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30 Name:
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31 Name:
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32 Name:
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33 Name:
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34 Name:
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35 Name:

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38 Name:
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39 Name:
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40 Name:
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41 Name:
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ID/Passport No.:

42 Name:
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43 Name:
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44 Name:
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45 Name:
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50 Name:
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51 Name:
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52 Name:

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.
ID/Passport No.:

53 Name:
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54 Name:
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55 Name:
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60 Name:
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61 Name:
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62 Name:
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63 Name:
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64 Name:
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65 Name:
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72 Name:
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73 Name:
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74 Name:
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75 Name:
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76 Name:
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77 Name:
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78 Name:
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80 Name:
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81 Name:
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82 Name:
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83 Name:
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84 Name:
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ID/Passport No.:

85 Name:
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86 Name:
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87 Name:
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88 Name:
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94 Name:
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95 Name:

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.
ID/Passport No.:

96 Name:
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97. Name:

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98. Name:

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100 Name:
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101 Name:
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106 Name:
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107 Name:
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108 Name:
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115 Name:
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116 Name:
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117 Name:
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118 Name:
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119 Name:
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120 Name:
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126 Name:
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127 Name:
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ID/Passport No.:

128 Name:
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129 Name:
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130 Name:
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137 Name:
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138 Name:

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.
ID/Passport No.:

139 Name:
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140 Name:
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142 Name:
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147 Name:
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148 Name:
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Adult Participants – Liability Exemption Form 15

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149 Name:
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150 Name:
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Adult Participants – Liability Exemption Form 16