Private Bag X6001, Potchefstroom

South Africa 2520

Tel:
Web:

018 299-1111/2222
http://www.nwu.ac.za

VRYWARING/ INDEMNITY
1. Ek, die ondergetekende / I, the undersigned
______________________________________________________________________________________
(Volle name en van van persoon wat kamp gaan bywoon) / (Full names and surname of person who is
attending the camp)
______________________________________________________________________________________
(Identiteitsnommer of paspoortnommer) / (Identity number or passport number)
met my adres te / with my address at
______________________________________________________________________________________
______________________________________________________________________________________
bevestig hiermee dat ek die Eerstejaarskamp (hierna genoem kamp) georganiseer deur die SR: Aktuele
Sake van die Potchefstroomkampus van die Noordwes-Universiteit (hierna genoem die Universiteit) aan sal
deelneem, wat strek vanaf 11-13 Januarie 2017 te Veldwaarts.
I hereby confirm that I shall be attending the First Years Camp (hereinafter referred to as "the Camp")
organised by the SRC: Current Affairs of the Potchefstroom Campus of the North-West University
(hereinafter referred to as "the University") and which will take place at Veldwaarts from 11-13 January
2017.
2.

Ek bevestig verder dat / I further confirm that:

2.1
My deelname aan die kamp heeltemal vrywillig is en dat ek op geen wyse verplig of gedwing is om deel te
neem nie.
My participation in the Camp is entirely voluntary and that I am in no way obliged or compelled to participate;
2.2
Ek is bewus van die aard en omvang van die program en die gepaardgaande aktiwiteite daarvan, en het
vooraf die nodige navrae gedoen.
I am aware of the nature and extent of the Camp, its incidental activities, and have made the necessary
enquiries beforehand.
2.3
Ek is bewus van die risikos en gevare betrokke daarby om in die geval van n motorvoertuigongeluk n
passasier of bestuurder van n motorvoertuig te wees, en in die besonder die risikos wat persoonlike
beserings, persoonlike en/of monetre skade en fisiese en/of psigologiese trauma insluit.
I am aware of the risks and dangers involved in being a passenger or driver of a motor vehicle in the event of
a motor vehicle accident, and particularly the risks involving personal injuries, personal and/or monetary
damages and physical and/or psychological trauma.
3.

Ek vrywaar hiermee die Universiteit en stel die Universiteit skadeloos teen enige eis hoegenaamd wat
gedurende en/of as gevolg van my kind se deelname aan die program kan ontstaan en wat ingestel kan
word hetsy deur my of my natuurlike of wettige voogde, eksekuteur(s), administrateur(s), regsverkrygendes
of opvolgers in titel en/of enige ander derde partye bo en behalwe diegene waarna daar in hierdie akte van
vrywaring verwys word vir enige verlies of skade wat deur enige handeling(s) en/of versuim(e) deur die
Universiteit veroorsaak kan word, of deur enige van die werknemers, studente, vriende, gevolmagtigdes,
genomineerdes, kontrakteurs, subkontrakteurs en/of persone wat namens of in opdrag van die Universiteit
optree.
I hereby indemnify the University against any claim whatsoever that may arise during and/or as a result of
my participation in the Camp, and that may be instituted by either myself or my natural or legal guardians,
executor(s), administrator(s), assigns or successors in title and/or any other third parties over and above
those referred to in this indemnity bond, for any loss or damage which may have been caused by any act(s)
and/or omission(s) by the University, any of its employees, students, friends, proxies, nominees, contractors,
sub-contractors and/or persons acting on behalf or on the instructions of the University.
3.1
Hierdie vrywaring is geldig en van krag vir die volle duur van die kamp, met inbegrip van enige handeling(e)
en/of wanprestasie en/of enige gedrag wat gedurende daardie tydperk kan voorkom, sowel as gedurende
die tydperk van vervoer tussen die Potchefstroomkampus en Veldwaarts, waar die kamp sal plaasvind,
met inbegrip van maar nie beperk nie tot enige ander vervoer na en vanaf die terrein van die kamp, en enige
handeling(e) en/of wanprestasie en/of enige gedrag wat gedurende sodanige vervoer kan voorkom of wat op
sodanige vervoer betrekking kan h.
This indemnity is valid and effective for the full duration of the Camp, including any action(s), and/or
malperformance and/or any conduct that may occur during that period, as well as for the period of
transportation between Potchefstroom and Veldwaarts including but not limited to any other transportation
to and from the grounds of the Camp, and any action(s), and/or malperformance and/or any conduct that
may occur during or may have relevance to such transportation.
4.
Ek vrywaar die Universiteit en/of die werknemers teen enige eis(e) wat gedurende en/of uit hierdie program
kan ontstaan as gevolg my/my kind se handelinge en/of enige van my direkteure, lede, werknemers, vriende,
gevolmagtigdes, genomineerdes, aangestelde ooreenkomssluiters en sub-ooreenkomssluiters, trustees,
aandeelhouers en/of enige ander persoon wat namens of volgens my opdragte optree.
I indemnify the University and/or his employees against any claim(s) which may arise during and/or from this
Camp due to my actions and/or any of my directors, members, employees, friends, proxies, nominees,
appointed agree mentors and sub-agree mentors, trustees, shareholders and/or any other person who act(s)
on my behalf or under my instructions.
5.
Die Universiteit en/of sy werknemers is onder geen omstandighede aanspreeklik vir enige regstreekse en/of
onregstreekse skade nie, wat enige verlies aan produktiwiteit, verlies aan inkomste, skade of onkoste van
enige aard ook al kan insluit, maar nie daartoe beperk is nie, wat ek, my afhanklike(s) eksekuteurs,
administrateurs en/of begunstigdes of enige persoon wat namens my optree as gevolg van enige handeling
en/of versuim en/of wanvoorstelling deur die Universiteit en/of die werknemers of amptenare daarvan kan ly.
The University and/or its employees will under no circumstances be liable for any direct and/or indirect
damages which may include, but will not be limited to, any loss of productivity, loss of income, damages or
expenses of any nature whatsoever, which I, my dependant(s), executors, administrators and/or
beneficiaries or anyone acting on my behalf, might suffer as a result of any action and/or omission and/or
misrepresentation by the University and/or its employees or officials.
6.
Hierdie voorbehoud is bindend op my/ons afhanklikes, eksekuteurs, begunstigdes en/of enige persoon wat
namens of in opdrag van my optree.
This indemnity is binding on me/our, dependant(s), executors, administrators, beneficiaries and/or any other
person who acts on behalf of me or under my instructions.
7.
Ek verleen toestemming dat mediese behandeling indien nodig aan my verleen mag word en aanvaar
aanspreeklikheid vir verbandhoudende koste, wat op versoek betaalbaar is.
I grant permission for medical treatment to be given to me if necessary, and accept responsibility for such
costs, which will be payable on request.

Ek ly aan die volgende siektes/allergie wat aan n dokter bekend gemaak moet word:
I suffer from the following ailments/allergies which should be made known to a doctor:
______________________________________________________________________________________
______________________________________________________________________________________

Naam van mediese fonds/Name of medical aid:

Hooflid/Main member:
Lidnommer/Membership number:

8. Ek, die ondergetekende / I, the undersigned

______________________________________________________________________________________
(Volle name en van van ouer/voog van die persoon wat kamp gaan bywoon) / (Full names and surname of
parent/guardian of person who is attending the camp)
______________________________________________________________________________________
(Identiteitsnommer of paspoortnommer) / (Identity number or passport number)
met my adres te / with my address at
______________________________________________________________________________________
______________________________________________________________________________________

bevestig hiermee dat ek toestemming gee dat die student soos genoem bo aan die Eerstejaarskamp
(hierna genoem kamp) georganiseer deur die SR: Aktuele Sake van die Potchefstroomkampus van die
Noordwes-Universiteit (hierna genoem die Universiteit) mag deelneem, wat strek vanaf 11-13 Januarie
2017 te Veldwaarts.
I hereby give permission that the student mentioned above may attend the First Years Camp (hereinafter
referred to as "the Camp") organised by the SRC: Current Affairs of the Potchefstroom Campus of the NorthWest University (hereinafter referred to as "the University") which will take place at Veldwaarts from 11-13
January 2017.
Geteken te/ Signed at ___________________________________ op hierdie/ on this ______________ dag
van/ day of___________________________2015.

As getuies/ as witnesses:

1.

__________________________________

2. __________________________________

__________________________________

__________________________________

Student

Ouer or Voog van student /

Parent or Guardian of student
3