UNIT:

START: PHOTO
INITIAL PAYMENT:

NO. OF TENANTS:

TENANT’S INFORMATION

FULL NAME: ______________________________________________________________________________________

First Name Middle Name Surname

Home Address: ___________________________________________________________________________

No. Street Barangay City / Province Zip Code

Home Phone No.: _________________________ Mobile No.: ___________________________________

Date of Birth : _________________________ Email: ___________________________________

PRESENT EMPLOYER: ____________________________________________________________________

Address : __________________________________________________________________________________

Office Telephone: _________________ Position: __________________ Date of Employment: ________

Name of Supervisor: ________________________________________ Tel. No.: ______________________

*Must submit photocopy of Valid Company ID

PERSON TO CONTACT IN CASE OF EMERGENCY:

Name: __________________________________________ Relationship: __________________________

Address: ___________________________________________________________________________________
No. Street Barangay City / Province Zip Code

Home Phone No.: ___________________________ Mobile Phone No.: ____________________________

*Must complete all information and submit all requirements before turn-over of the key/s.

I hereby declare that the above information, to the best of my knowledge, is true and correct. I am giving
consent to my prospective landlord to do background check. I understand that any willful misinformation
will result to the nullification of my tenancy.

I hereby read and agree with the terms and conditions.

Signature of Tenant: _______________________________ Date Signed: ______________

CONFIDENTIAL
Pls. see back

MINIMUM STAY OF 3 MONTHS REQUIRED. NON COMPLETION WILL BE

SUBJECT TO FORFEITURE OF SECURITY DEPOSIT.

CONFORME BY:

_____________________________ ________________
NAME & SIGNATURE DATE SIGNED

RECEIVED REFUND OF SECURITY DEPOSIT P___________________________.

RECEIVED BY: ___________________________________________

NAME and SIGNATURE
DATE : ____________