Sch 4Register of Lodgers

SCHEDULE 4—Register of Lodgers [clause 8.3.2] Location of Lodging House— ....................................................................................................................................................................... ....................................................................................................................................................................... Date of Arrival .............................................................................................................................................. Name.............................................................................................................................................................. Previous Address........................................................................................................................................... Signature ....................................................................................................................................................... Room No. ...................................................................................................................................................... Date of Departure ........................................................................................................................................ ................................................................................................ .............................................................. Signature of Keeper Date ————