Santander Indemnity 18/19

1. Name of Student *This question is required.

2. Start date of Placement *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

3. End date of Placement *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

4. Contact Information

Company Name

Street Address

Apt/Suite/Office

City

State

Post Code

Country

5. in Consideration of *This question is required.

6.

agreeing to participate in the Santander Internship Programme arranged by Ulster University to provide facilities for the student at the times and for the period set out in the attached Work Experience Schedule (including the provision of any protective clothing or equipment which may be necessary) and supervision and to comply with all Health and Safety legislation relating to the workplace, Ulster University will indemnify
*This question is required.

up to a maximum of £10,000,000 for any one occurrence against:-

7.
Legal liability of

8.
to pay damages, including Claimant’s costs and expenses in respect of Death, Bodily Injury or Disease suffered by the student and caused by an event occurring whilst the student was attending for training/work experience except to the extent that the same is due to any negligence, breach of statutory duty, omission or default of
*This question is required.

his Servants or Agents or of any person for whom they are responsible.

9. Legal Liability of

10. to pay damages including Claimant’s costs and
expenses in respect of loss/damaged property if such damage is caused by a student
whilst attending for training/work experience, except to the extent that the same is due to
any negligence, breach of statutory duty, omission or default of

his Servants or Agents or of any person for whom they are
responsible.

Any claims costs or expenses arising out of Death, Injury or Damage to property where
such claims, costs or expenses result from the negligence of the University of Ulster.

It is a condition of this indemnity that students will not be permitted to drive, manage,
control or move mechanically propelled vehicles of any description and indemnity will
not be provided in any cases that arise as a result of a breach of this condition.

12. Signed (For and on behalf of Placement organisation) *This question is required.

Clear

Signature of

13. Work Experience Approved by (For and on behalf of Placement organisation) *This question is required.

Clear

Signature of

Signed……Moira McCarthy……. Date 29/01/2019
(For and on behalf of Ulster University)

Valid for academic year 2019/2020