Universiti Tunku Abdul Rahman

Form Title : EXTERNAL SPEAKER AGREEMENT

Form Number : FM-DSA-CSU-027 Rev No: 1 Effective Date: 01/06/2016 Page No: 1 of 2
PROGRAM INFORMATION
To be filled by Organizing Body (where applicable)

Representative’s Name : _________________________________ ____ Organized By : ____________________

ID / IC No : ______________________________________ Contact No: ______________________

Activity/Event Title : _______________________________________________________________________

Date of Visit : ___________________ Time: _____________ Venue Booked: ___________________

SPEAKER’S INFORMATION
To be filled by External Party

Representative’s Name : _______________________________________________________________________

Additional speakers/visitors may register directly at the Security Counter.

IC / Passport No. : ______________________________________ Contact No: ______________________

Company Name :_______________________________________________________________________

Registered Address :_______________________________________________________________________

Content Summary : _______________________________________________________________________

________________________________________________________________________

Services Requested : Basic Setup (Tables/Chairs) Permissions : Campus Parking Access

Table Cloth / Rostrum Pickup/Dropoff Access
PA System Cooking/FnB Preparation
Projector/Screen Audio/Visual Content/Performance
Notebook Lease Open Space Activity / Promotions

IMPORTANT: For all talks/trainings/workshops, please attach/submit a copy of the slides/handouts and content. DSA reserves the right
to request for clarifications and reject speakers/vendors who are deemed to have inappropriate or questionable content.

VISITOR GUIDELINES & REGULATIONS

GENERAL GUIDELINES
1. All visitors are required to adhere to University Rules and Regulations whenever they are on campus. Important
guidelines to be aware of include:
a. Venue Usage Guidelines – SL Campus / KPR Campus
b. Security Guidelines – Visitor Passes / Parking / Campus Access Policy
The above references are not exhaustive. Please consult the Department of Student Affairs(DSA) to verify all requirements.
2. A parking pass approved by the Department of Safety and Security (DSS) is required to enter the campus carpark
(available only after office hours). Drop off / Pick up may be allowed via registration at the guardhouse.
3. The organiser is required provide an event pass/visitor pass to access the campus.
4. All visitors are STRICTLY PROHIBITED from soliciting student data/personal information in any form whatsoever.
5. Any breach of guidelines/regulations may result in immediate removal from the campus grounds and blacklisting of
the company and all of its representatives permanently from the University. All payments made (if any) will also be
automatically forfeited and no refunds will be entertained.

SPEAKERS / TRAINERS REGULATIONS

1. All speakers/trainers are expected provide an abstract of their content (submitted in soft copy or hard copy) to DSA
before being given permission to conduct their programme in the University.
 Universiti Tunku Abdul Rahman
Form Title : EXTERNAL SPEAKER AGREEMENT
Form Number : FM-DSA-CSU-027 Rev No: 1 Effective Date: 01/06/2016 Page No: 2 of 2
2. Upon approval, speakers/trainers are expected to conduct the abovementioned programme/talk/workshop at the
stipulated period, venue and time.
3. The speaker/trainer is STRICTLY PROHIBITED from deviating from the pre-approved content and shall not include any
content with personal interest. Speakers/trainers are also expected to adhere to general norms and may not promote
sensitive topics (i.e. racism, content inciting hatred, religious/cultural sensitivities, extreme ideologies). Please consult
with your assigned coordinator for clarifications.
4. Additional service requests may be subject to charges accordingly. Please liaise with your assigned coordinator to
confirm all arrangements at least THREE (3) working days in advance.

ACKNOWLEDGEMENT / APPROVAL
I declare that all information provided is accurate and true. I have read, understood and agree to abide by the
terms of agreement stipulated above and will be subject to University action for any violation.

Applied By, Received/Approved By,

____________________________ _____________ ______________________ _____________

Name : Company Stamp Name : DSA Stamp
Date : Date :

IMPORTANT: Please keep a copy of this signed agreement at all Content / Information Received
times for verification purposes. Venue Booking / Service Requests Submitted