WORQ
KL Eco City
Consent & Waiver Liability Form
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Personal Information
I am a
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WORQ Member
Guest / Visitor
Members have ongoing access. Guests have access until 6:00 PM today.
Full Name
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NRIC / Passport No.
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Company Name / Visiting Company Name
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Email Address
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We will use this to check if you're a registered member and send you a confirmation.
Phone Number
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Emergency Contact Details
Name
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Relationship
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Contact Number
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Terms and Conditions
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By accepting and signing to this consent of waiver of liability form ("Form"), you hereby agree and accept the privacy notice published on WORQ KL Sdn Bhd's ("WORQ KL") official website (
https://worq.space/privacy-policy/
) (as may be updated by WORQ from time to time) and further agree and consent for WORQ KL and/or its respective holding companies, affiliates, associates, agents, or related corporations to use, process, disclose, transfer and/or to deal with your personal data (whether in electronic or other form and whether provided orally or in writing to WORQ KL) for the purposes stated in the aforesaid said privacy notice.
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By signing this Form, I certify that I have fully and completely read and understand this Form and consent and agree to the terms and conditions of the same on behalf of myself.
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Submit Consent & Waiver of Liability Form
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