Name of Accommodation Establishment:

___MARTHE LANCE BEACH RESORT_ Date of Reservation:

Number of Reserved Room/s / Cottage/s: __________________ QR CODE Event/Activity: __ __
Address: ___CATABLINGAN, GEN. NAKAR, QUEZON Contact No.: ___
Contact No.: _09512975346_________________________________________ I.D. Presented: ___________________________________
Type of vehicle:

Place of Residence Remarks: (Specify Email Address and/or Daytime Overnight

Reserved Sex Municipality and Contact Number Duration
No. Date Name of Visitor Age Philippines Province, or Country of stay Time Time Time Time
Foreign
of Residence) In Out In Out
Country
This Other
Male Female
Municipality Municipality
1 M / F R NR Fo
2 M / F R NR Fo
3 M / F R NR Fo
4 M / F R NR Fo
5 M / F R NR Fo
6 M / F R NR Fo
7 M / F R NR Fo
8 M / F R NR Fo
9 M / F R NR Fo
10 M / F R NR Fo
11 M / F R NR Fo
12 M / F R NR Fo
13 M / F R NR Fo
14 M / F R NR Fo
15 M / F R NR Fo
16 M / F R NR Fo
17 M / F R NR Fo
18 M / F R NR Fo
19 M / F R NR Fo
20 M / F R NR Fo
Resident of this province
**NR Non-Resident of this province
***Fo Foreign/Non-Filipino Citizen