ANNEX 2 :
Use of the World Summit on the Information Society Official Logo
for Information and Fund-raising Purposes:
WAIVER OF LIABILITY
Please mail or fax this completed form to: The Executive Secretariat of the World Summit on the
Information Society, c/o ITU, Place des Nations, 1211 Geneva, Switzerland, fax:+41 22 730 6393
The undersigned acknowledges that, in using the World Summit on the Information Society official
logo for (tick as appropriate);
● informational purposes (as explained below)
● fund-raising purposes (as explained in its submission dated ____________ to the
WSIS Executive Secretariat)1:
a) the undersigned is responsible for ensuring that the activities are carried out in
accordance with the applicable law and for ensuring that appropriate insurance is
maintained to cover the risks arising out of such activities;
b) the ITU does not assume any responsibility for the activities of the undersigned; and
c) the undersigned shall hold harmless and defend the WSIS Executive Secretariat and the
ITU, its officials and its staff members against any demand or action that may be
brought against them as a result of the use of the logo.
Purpose of use of the WSIS official logo (continue on separate sheet if necessary):
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Signed:
Date:
Full name:
Position:
E-mail:
Organization:
Address:
____________________
1
See point 3, letter b) of the Policy for the Use of the WSIS Official Logo
25.09.02
www.itu.int/wsis