BUYER’S INFORMATION SHEET

To be filled up by the Marketing Officer/ Incharge

Project Name: One Aura Residences
Block No. Lot No.
Lot Area. Floor Area.
Total Contract Price :
Seller’s Name:
Realty/Broker:
Date Reserved :
AR/PR No. :
Source:
Financing:

PERSONAL INFORMATION

Name:
(Last Name) (First Name) (Middle Name)

Address:
No. (Including Bldng. Name) (Street) (Barangay/ Subdivision)

(District/ Municipality) (City/ Province) (Zip Code)

How Long? Years Months Ownership: Own Rent Living with relatives

Birth Date: Sex: Male Female Age: Nat.:

Civil Status: Single Widower Married Separated No. of Dependents:

NAME AGE BIRTH DATE

Home Phone: Cellular Phone:

E-mail Address:

SPOUSE’S INFORMATION

Name: _
(Last Name) (First Name) (Middle Name)

Birth Date: _ Sex: Male Female Age: Nat.: _ _

Home Phone: Cellular Phone:

E-mail Address:

Verified by:

Account Officer

Buyer’s signature over printed name