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