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Sports Activity Indemnity Form (Singapore) Mobile App

This mobile app captures the name and passport number of the child, parents, and witness. It also includes a waiver for sports activity indemnity.

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Please bring this form duly completed with you when you check in for Inter-Hall Games 12/13 –
I, (Name of student/parent/guardian, as applicable)
(Passport or NRIC No.
*parent/guardian of (Name of student)
(Passport or NRIC No.
hereby declare that *I/my *child/ward *am/is participating in the Inter-Hall Games 2012/13 (sport(s)
from 02 Jan 2013 to 20 Feb 2013 (the “Event”) of *my/his/her own free will and volition, *am/is a...
do hereby absolve, acquit and discharge NUS and its officers, servants, employees, agents or volu...
participation in the Event.
Name & Passport/NRIC No.
Signature
Date
Signature of Witness
Date
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