Kingdom of Cambodia

Kep Provincial Police Station NATION RELIGON KING

CONTRACT

My name is ……………………………………………..Name in Latin……………………………………

Age………….. Occupation……………………………. Holding ID Card or Passport No.………………

…… …….Currently living at …………… ………………………………………………………………
…………………………………………………………………………………………………………….

I am the owner of……………………………………………………located at……………………………

………………………………………………………………………………………………………………

After receiving instruction from Mr………………………………..Position………………………………

Division……………………………………………………………of Kep Provincial Police Station.

In front of the officers of Kep Provincial Police Station, I hereby declare my agreement on the following:

1. Not providing room for any of the gambling activities.

2. Not providing room for storing, distributing and using drugs.
3. Not providing room for illegal prostitution and human trafficking.
4. Not providing room for storing and use weapon illegally.
5. Not providing accommodation to illegal immigrants.
6. Telling us about the number of local or international who hold or attend a meeting or seminar (at their
places) and the subjects of the meeting to the local police stations.
7. Writing down names of local and international guests on a list and refusing to give accommodation or
services in case any of the guests does not have an ID card, birth certificate or passport.
8. As the owner of hotels, resorts, guesthouses, houses for rent, KTVs and massage parlors, I agree to follow
the instruction and this contract. In case of my failure, I will accept all responsibilities under the law, with
my thumbprint and signature on this contract as the evidence.

Kep, DD……MM……YY……

Attendees Witness The Owner’s Thumbprint The Officer

…………… …………… …………… ……………