For Those 21 years old & above

LETTER OF INDEMNITY

In consideration of the Waste & Resource Management Department, National Environment Agency
agreeing to my request to visit ____________________________on ________________
(Name of NEA I nstallation) (Date)
I, _______________________________________ NRIC/Passport No: ______________
(Name)
of______________________________________________________________________
(Address)
hereby undertake that I shall personally be liable for and shall indemnify and keep
indemnified the Government of the Republic of Singapore, its servants and agents against
all claims, losses, demands, actions, suits, proceedings, costs and expenses whatsoever
which may be taken or made against the Government of the Republic of Singapore or
incurred or become payable by the Government of the Republic of' Singapore in respect
of any death, injury, disability or in respect of any damage or loss of property suffered or
caused in the course of or in connection with my participation in the said visit/conducted
tour to the _________________________________ except where the same is due to the
negligence or wilful misconduct of the Government of the Republic of Singapore, its
civil servants and agents.

Dated on ___________ (day) ____________(month) _______(year) in the presence of

_______________________
Signature of Participant

_______________________
Name of Witness Signature of Witness


NRI C No:

Address: __________