CLIENT’S PERSONAL DATA FORM

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, Abuja, Port-harcourt and Uyo.

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:

No. of Children:

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:

Amount/ Budget – (N / $):

Reason for leaving present Accommodation:

Name, Address & Telephone numbers of present Landlord:

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 professional fee of 10% of the rent on the property, being the stipulated fee pursuant to Scale 3.3.6 of the Scale of Professional Charges for Professional Estate Surveying and Valuation Services as approved by the Estate Surveyors and Valuers Registration Board of Nigeria (ESVARBON) of which you are a member.

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: