EAGLEVILLE ESTATE PROSPECTIVE TENANT DATA FORM

NAME: SAMAILA ISAH

OFFICE ADDRESS: NNPC Towers, Herbert Macaulay Way, PMB 190 Abuja Nigeria

HOME ADDRESS: No. 2 Liberty Street, Benin City Nigeria

OCCUPATION: Public Servant

STATE OF ORIGIN: Gombe

LOCAL GOV’T AREA: Billiri

SEX: Male

AGE: 29 years

RELIGION: Christian

MARITAL STATUS: Married

NAME OF WIFE: Dorcas Samaila

ADRESS OF WIFE: No. 2 Liberty Street, Benin City Nigeria

NUMBER OF CHILDREN: 1

PHONE: 08069493551 WIFE PHONE: 08102953439

EMAIL ADRESS: isamnite31@gmail.com

NEXT OF KIN: Dorcas Samaila

CONTACT ADDRESS: No. 2 Liberty Street, Benin City Nigeria

PHONE NUMBER: 08102953439

DATE: 17th April 2023

REFEREES:

1. NAME: Amdi Salam

CONTACT ADDRESS: 54 Moses Majekodunmi Crescent, Utako Abuja

PHONE NUMBER: 09092841364

2. NAME: Umar Garba

CONTACT ADDRESS: Herbert Macaulay Way, PMB 190 Abuja Nigeria

PHONE NUMBER: 08036306269

Bank Details

Account no: 2214805840

Account Name: Samaila Isah

Bank Name: Zenith Bank