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PERSATUAN IBU BAPA - GURU,
SEKOLAH JENIS KEBANGSAAN (TAMIL) LADANG COALFIELDS, SUNGAI BULOH
BANDAR SERI COALFILEDS,SG.BULOH, SELANGOR D.E.
TEL & FAKS : 03-60381682/ E-mail: pibgcoalfileds@gmail.com
KOD SEKOLAH : BBD 3055 No.Pendaftaran : SEL:652

Date : 30.09.2021

School’s Details
School Name :SJK T LADANG COALFIELDS
School Address : BANDAR SERI COALFIELDS, 47000 SG BULOH.

Attention: Carlsberg Malaysia

RE: Application request for Carlsberg Malaysia’s “Safer Schools 2021” Campaign – Disinfection
Service

We refer to Carlsberg Malaysia’s Safer Schools 2021 announcement on:

Platform Please tick:
Carlsberg Malaysia Facebook Page
Newspaper (Print)
Social Media 
Radio Station
Others: Please state:

I, Jaya kumar A/L Chelliah President of Board Of Governors (BOG) / Persatuan Ibu Bapa
dan Guru (PIBG), IC Number 750301145151 represent the [School’s Name], SJK T LADANG
COALFIELDS, [School’s Registration Number SEL:652 and [School’s Address] Bandar Seri
Coalfields, 47000 Sg.Buloh (“the School” ) and would like to apply for the Disinfection Service
under the Carlsberg Malaysia’s Safer Schools 2021 campaign. As at the date hereof, I confirmed
that there has been a total number of [no cases] confirmed COVID 19 cases in the School.

I hereby acknowledge that I have read and agree to the General Terms and Conditions of the
Safer Schools 2021 campaign and the Additional Terms set out in Appendix A of this letter.
 Carlsberg Brewery 55 Persiaran Selangor, Seksyen
Malaysia Berhad 15, 40200 Shah Alam,
Selangor Darul Ehsan,
Malaysia.
Tel +603 5522 6688
Fax + 603 5519 1931
mygroupcomm@carlsberg.asia
facebook.com/CarlsbergMalaysia
twitter.com/CarlsbergMY

I further acknowledge and understand that Carlsberg Malaysia has the sole discretion in the
selection process and in making the final decision on selecting the Beneficiary School for the
campaign

Yours faithfully,

……………………..………..
Name :
Designation :
Date :
Chop Stamp :

2
 Carlsberg Brewery 55 Persiaran Selangor, Seksyen
Malaysia Berhad 15, 40200 Shah Alam,
Selangor Darul Ehsan,
Malaysia.
Tel +603 5522 6688
Fax + 603 5519 1931
mygroupcomm@carlsberg.asia
facebook.com/CarlsbergMalaysia
twitter.com/CarlsbergMY

Appendix A

Additional Terms by Carlsberg Malaysia

1. The School hereby agrees to allow and permit Carlsberg Malaysia and its appointed
partner and/or media agency to take photographs or film footages of full sanitisation and
disinfection services around the School’s compound.

The School acknowledges that these videos, photographs and/or images may appear
and be published in local or national newspapers and social media platforms, or on
Carlsberg Malaysia’s corporate websites (collectively, the “Media Platforms”) for
editorial, promotional, and/or other purposes as deem fit by Carlsberg Malaysia. The
School grants all rights to Carlsberg Malaysia to publish and post such videos,
photographs and/or images on the Media Platforms without any further compensation
and for an unlimited period of time.

2. The Disinfection Service Contribution is ONLY open to all public primary schools in
Malaysia with Covid-19 case(s). The School must submit along the application letter once
Covid-19 positive case(s) is confirmed in the School.

3. Carlsberg Malaysia shall reserve the rights on scheduling the date(s) on delivery of the
disinfection services at the School’s premise.

4. Carlsberg Malaysia and any of its related company shall not bear any responsibility or
liability for any loss, damage or harm (whether directly or indirectly) that the School may
suffer as a result of its participation in the Safer Schools 2021 campaign.

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