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INDEMNITY FORM

SOUTH KOREA FRIENDSHIP PROGRAM 2021

Hereby I declare that,


My name :
Address :
Phone :
Occupation :

Will participate on SOUTH KOREA FRIENDSHIP PROGRAM 2021 in Seoul, South Korea. I
should respect with the program regulation. I am agree with the program regulation:
1. Payment to cover:

Program Fee
NO COST & FACILITIES
($600)
Program (Future Youth Orientation, Campus Visit,
1 √
Company Visit, Seoul City Tour and Exploration)
2 International Networking √
3 Meals during the program (12 times) √
4 Hotel in Seoul City (sharing room) √
5 Hotel in Jakarta (sharing room) √
6 Participant Kit (ID Card, Goody Bag, Note Book, Pen) √
7 International Certificate √
8 Awards for the Winner √
9 Professional Documentation √
10 Local Insurance √
11 First Aid √
12 Full time LO √
13 Local Transport during the program √

2. I will take my responsibility about points below:


a. Flight
b. Visa (if required)
a. If any loss of personal property
b. Special medicine / treatment
c. Agenda outside the program
d. Accommodation after the end of the program (if participants make extended stays /
tours in the destination country)

3. The registration fee is refundable, 100% for cancellations only because of visa rejection
from the embassy. The reasons except visa rejection is not responsible for problems
beyond our control and can’t be refunded such as weather conditions, campus
conditions, travel difficulties, health issues, etc.
Date: ___, _________, 2020

sign
(___________________________)
Full name:

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