Professional Documents
Culture Documents
g20 Langkawi Ride 2009
g20 Langkawi Ride 2009
PAYMENT : RM _____________
MOTORCYCLE PARTICULARS :
RELATIONSHIP : ______________________
DECLARATION & INDEMNITY
I/we declare that the information provided above is true on the best of my/our knowledge.
I/we further declare that I/we willingly participate in the G20 Langkawi Ride 2009 (herein
after, referred as “the event”) voluntarily. In consideration of your allowing me/us to
participate in the above mentioned event, I/we hereby warrant that I/we will indemnify and
safe harmless including but not limited to its members and respective officials from the
against all actions, claim,cost,expenses,demands,liabilities,injuries,negligence and
judgements including legal fees (on a solicitor-client basis) in respect of death or injury to
myself/ourselves and damage of property belonging to me/us or others howsoever caused
arising out of all in connection with my/our taking part in the above-mentioned event as a
rider or pillon. I/we further warrant that I am/we are in good health, am/are over 18 to
possess a valid riding license (applicable to riders only) and the standard of competence
and experience expected of participations for the event.
_____________________
Signature
Please contact : Zahida Ismail (+60192840200)
Affian (+60172058777)
e-mail : affian71@gmail.com
affian71@yahoo.com
**** G20 SECRETARIAT HAVE THE RIGHT TO REJECT ANY APPLICATION WITHOUT ANY WRITTEN REASON