The Registrar

Swinburne University of Technology, Sarawak Campus

Jalan Simpang Tiga
93550 Kuching
Sarawak
LETTER OF INDEMNITY
I,

____(NAME

OF

TEACHER

DEBATE

COACH

ADJUDICATOR

_________________________________

____,

IC / Passport No.

from

ACCOMPANYING

ADULT

(SCHOOL)

, do hereby fully indemnify and keep indemnified

Swinburne against all summonses, actions, proceedings, claims and demands,
costs, damages and expenses which may be levied, brought, or made against
Swinburne, or which Swinburne may pay, sustain, or incur by a reason directly or
indirectly linked with any act, omission or negligence by Swinburne or its
servants, agents or employees in respect of the mentioned activities.

Activity: Swinburne Sarawak Inter-School Debating Championship 2016

Venue : Swinburne University of Technology, Sarawak Campus
Date

: 22 25 February 2016

(SIGNATURE)..
Name of Teacher / Debate Coach / Adjudicator / Accompanying Adult*:
(please circle appropriate position)
Date: