In consideration of Isuzu Motors South Africa (“IMSAf”) allowing me to participate in the Drive Modules and all activities associated therewith (“the Driver Module Activities”). I, the undersigned, agree as follows:

1. I am fully aware of the possible risks, dangers and hazards associated with my participation in the Drive Module Activities, including the possible risk of damage to property and severe or fatal injury to others or myself. I accept and assume all such risks, dangers and hazards and the possibility of personal injury, death, permanent disability, property damage or loss resulting thereof.

2. I waive any and all claims that I have or may have against IMSAf, and its directors, officers, employees, authorised dealers, suppliers, agents and/or independent contractors, arising out of or caused by or in connection with my participation in the Driver Module Activities as set out above.

3. I release IMSAf and its directors, officers, employees, authorised dealers, suppliers, agents and/or independent contractors from any and all liability for any loss, damage, injury or expense, that I may suffer, or that my next of kin, dependents or estate may suffer, whether arising in contract, delict, common law or by statute, and caused by or arising out of or in connection with my participation in the Driver Module Activities due to any cause whatsoever.

4. I indemnity and hold harmless IMSAf and its directors, officers, employees, authorised dealers, suppliers, agents and/or independent contractors from any and all liability for any damage including consequential damages to the property of IMSAf, or personal injury to, any third party, resulting from my participation in the Driver Module Activities.

5. In entering into this Agreement, I am not relying upon any oral or written representations or statements made by IMSAf and its directors, officers, employees, authorised dealers, suppliers, agents and/or independent contractors other than what is set forth in this Agreement.

6. I declare that the below supplied information is correct and true.

7. This Agreement is binding upon and inure to the benefit of my executors, administrators, personal representatives, collectors, heirs and/or successors.

8. This Agreement is effective as of the date of signature by myself.