Guest Registration And Disclaimer/departure Form

ADVERTISEMENT

GUEST REGISTRATION & DISCLAIMER/DEPARTURE FORM
Section 7 of the South African Immigration Act, 2002 (Act No 13 of 2002), as detailed under Section 40 of the
Immigration Amendment Act requires “that every owner of any premises, whether furnished or unfurnished, where
lodging or sleeping accommodation is provided for payment or reward, shall, keep a register of all persons provided
with lodging, and every person shall sign the register and furnish the prescribed personal particulars.”
:
We would be grateful for your cooperation in completing this form
Full Names and Surnames of All Guests
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
5. ____________________________________________________________________________
6. ____________________________________________________________________________
ID/Passport Number for the Person Responsible for the Group
Nationality
___________________________________________________
________________________
Residential Address for the Person Responsible for the Group
____________________________________________________________________________________
____________________________________________________________________________________
Telephone Number on which we contact you
Email Address
_____________________________________
______________________________________
Date of Arrival
Date of Departure
_____________________________________
______________________________________
How did you hear about us?
____________________________________________________________________________________
We acknowledge that we enter and use these premises at our own risk. We further acknowledge that
there is a swimming pool and a dam in the vicinity of MontMartre Chalets and that the owners, being
L'Aubade Mountain Retreat Pty Ltd, have taken reasonable precautions to prevent injury, loss or damage to
guests or their property and neither the owners nor their employees, representatives or agents are liable
for any injury, loss or damage to guests or their property from any cause whatsoever. We indemnify and
hold harmless the owners, its directors, employees and agents, against any claim or liability in connection
with any injury, loss or damage suffered by any of us, arising from or in connection with our occupation or
use of Rainbow Cottage or any of the facilities thereof including, but not limited to, the swimming pool and
dam. We are satisfied with the facilities and services provided by Rainbow Cottage.
Comments / Suggestions__________________________________________________________________
_______________________________________________________________________________________
_______________________________________
________________________________
Signature of Person Responsible for the Group
Date

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Life
Go