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VERONIS INC. 2nd Level, Sox Mini Stucios Bldg. Tabu St, Urea, (022)s35-1702 09424804429 09066264798 ray. Sambag 2, Cebu Cty 6000 taco LEASE APPLICATION SHEET Forma — | — Peper Name Tanane “aienene” ~fomiviame | Employed: Company: student: «Sponsored: | tention reset mer oO Oo oO a APPLICANT BETAS EMPLOYED APPLICANT birth Date: ge: company TROT dress: | | presentAddess Tas oer or | | a Ts | Gan, ree oo | cron par = | Homeadres: character Reference(s) Nar contact Detalis Taste, frees ape eTroms Frcs ie Contact Details: — " STUDENT/REVIEWEE | | mobi # Alternate School/Review Center mai Adress adress: | Incase of Emergency: | Nome course/Specatzaton: dees | uration: roe: obi # Alternate " FAMILY BACKGROUND ‘CONTRACT #s: LEASE DETAILS (Morte lnk expt the oven cee rarer: Target Date to moves: orien SrouNes: Accommodation: Mini sto penthouse. : Lease Tye: Long term(___mos_ mos. | 2. Short term (__ mas: _mos. | 3. 2 —s “ s 2 | Fam Prefered Bank ls . I [NITLEASEAOPUCATIONWITATHEFOLLOWING | Receved & Verfed By: | IMeRERY ORCLARE THATTHE AFORMENTIONED | REQUIREMENTS." 7" TTT INFORMATION ARE TRUE AND CORRECT TO THE BEST | ‘imi voihoppicantsand parents /sponsorsgov't | (OF MY KNOWLEDGE AND AGREE TO USE SUCH = | | INFORMATION FOR MY IDENTITY VERIFICATION AS | 3 Posferncomeptseprvdecitererhe ‘Noor Boe REQUISITE TO THs APPLICATION. ‘oto _Erelomecertete | Reviewed by Eres Perm reprtin | 2. tert operon. are) | aes iopwn pel eaete arm) oe | usseresenvarinreocess: Tome grate po enc cond p petestenfom | nonce: | enteomouec reer | | Sopovetosnnton | | 3 Sree aperstee roved by: | The Management of BOXMINI STUDIOS assures the | 2 S8TeSlcous Ofer Seat aoeen | applicant that el the informations statedin this woe | ‘pplication shal be kept CONFIDENTIAL tise Aptcoton set ondregrement rede | {forverficetion ofthe oppicationonlyand does rot

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