Australian High Commission
Malaysia
High Commission address: 6 Jalan Yap Kwan Seng, Kuala Lumpur - Telephone: 2146 5555 - Fax: 2141 5773

Australian Alumni Treasure Hunt

Entry Form

Declaration

In consideration of the acceptance of our entry, we, the undersigned, hereby agree to abide by the Rules and Regulations of the Australian Alumni Treasure Hunt and to indemnify the Australian High Commission and all other person(s) howsoever connected to or involved with the organisation or conduct of the event from all actions, claims, costs and damages in respect to death and injury arising out of our taking part in the event notwithstanding that such death, injury or damage may have been contributed to or caused by the negligence of the aforesaid parties.

Team Name:
Team Members:

  1. Full Name:
    Name of Australian Institution:
    Tel:
    Email:
    T-Shirt size:
    Signature: 

  2. Full Name:
    Name of Australian Institution:
    Tel:
    Email:
    T-Shirt size:
    Signature: 

  3. Full Name:
    Name of Australian Institution:
    Tel:
    Email:
    T-Shirt size:
    Signature: 

  4. Full Name:
    Name of Australian Institution:
    Tel:
    Email:
    T-Shirt size:
    Signature:

_________________________________________________________

For official use only
Received by:
Participation No:
Date:
Receipt No:
Remarks:

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