CLIENT’S PERSONAL DATA FORM (For Shortlet Accommodation)

All information supplied will be treated with utmost confidentiality & will be used only for the purpose of securing your desired accommodation.

All information are required and should be completely filled. Applicable only to Lagos.

You must have the Guarantor Form filled and submitted before this request will be processed.

Surname:

Other names:

Email Address:

Telephone Nos:

Nationality:

State of Origin:

Local Govt:

Home Town Address:

Tribe:

Religion:

Date of Birth:

Marital Status:

Expected Number of Occupants:

No. of Cars:

Present Residential Address:

Name & Address of Employer/ Business:

Nature of Business/ Occupation:

Position/ Designation/ Department:

Workplace website:

Employer’s Telephone Nos:

Employer’s Email:

Description & Address of Accommodation Required:

Use:

Duration of Use:
From: To:

No of Days:

Rate per night – (N / $):

For Married Clients

Spouse’s Name:

Spouse's Address of Work:

Spouse’s Telephone Nos:

Spouse's Email:

APPLICANT’S ATTESTATION
 I hereby declare that the information given above are true and accurate.

 I agree to pay your 10% agency fee applies upon successful conclusion of the transaction.

 I agree to the 10% refundable caution deposit. This is against repair of damages to the apartment that may be observed when leaving. However, if the property is left in the same condition, the caution deposit shall be refunded.

Upload Passport Photograph:

Upload Picture of Signature:

Upload Photocopy of Workplace ID-card

Also Upload a copy of driver's licence or Int'l Passport: