GUEST STATEMENT FORM

I...............................................................................................................................................

Guest in room / Resident..............................................................................................................................

Home contact No...............................................................and work……………………………….

Passport No………………….........................Place………………………………Age…………………..

Nationality…………………………………………………………………………………………………….

Declare that the following statement is true to my knowledge & beliefs, and that I make this statement knowing that if it is tendered in evidence that I will be liable to prosecution if I willfully state in it anything which I know to be false or do not believe to be true.

I make this statement out of my own free will and without any promise threat made to me.This report is made on (Date)…………………… (Time)……………….am/pm at The Torch- Doha in the presence of (Name).........................................… (Designation).........................................

Statement submitted and signature by…………………………………………………..........................Date…………………………………………………………..Time…………………………………………Statement taken by………………………………………………………………………….