ALPHA QUOTA PROPERTIES
PROSPECTIVETENANT ACQUAINTANCEFORM:
MR
TITLE(Mr, Mrs, Ms):____________________S ARIKO
urname:___________________________
OKEOGHENE
Ot her Names: ___________________________________________________________
Age Bracket 20-30yrs * 31-40yrs 41-50yrs 51 and above
09123129776/08029794162
Phone Numbers:___________________________
arikookeoghene081@gmail.com
E-Mail Address:______________________________
Post al Address:______________________________
105101
ADMINISTRATOR AND MUSICIAN
Profession:_________________________________
LOGISTICS COMPANY AND LAUNDRY SERVICE
Nature Of Business:____________________________
ARIKO OKEOGHENE, HOUSE NO 100, OLORI ELEGUSHI STREET
s name and Address: ____________________________________________________
Employer’
IRABOKO AWOYAYA, LAGOS STATE.
______________________________________________________________________________
______________________________________________________________________________
CEO
Posit ion Held:___________________________
MALE
Gender: ________________________________
18TH OF FEBRUARY 1997
Dat e of Birt h: ____________________________
Marit al St at us: Single Married * Widowed
If Married, No of wives:________________________
ONE
ARIOBEGWO GABRIELLA
Spouse Name:________________________________
09027497254
Spouse Phone No:____________________________
Spouse Office Name and Address:__________________________________________________
NO 38 ALABA WATER SIDE ORHUWHORUN, WARRI, DELTA
STATE
______________________________________________________________________________
TWO
No of Children (if any):_____________________
NONE
How Many dependant s do you int end t o Accommodat e:___________________________
NIGERIAN
Nationalit y: _____________________________
DELTA STATE
St at e of Origin: ___________________________
L.G.A:___________________________________
UGHELLI SOUTH LOCAL GOV. AREA
CHRISTIAN
Religion: _________________________________
DOMINION CITY CHURCH
Place of Worship: __________________________
HOUSE NO 100, OLORI ELEGUSHI STREET IRABOKO AWOYAYA, LAGOS STATE.
Current Resident ial Address: ______________________________________________________
______________________________________________________________________________
LACK OF WATER AND MAINTENANCE
Reason for Relocat ion: __________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
ARIKO COMFORT, NO 1 ENERHEN JUNCTION, BY AGAGA COMPOUND
Next Of Kin (Name and Address/ Cont act): ___________________________________________
______________________________________________________________________________
BESIDE MOBILE FILLING STATION ENERHEN JUNCTION, WARRI, DELTA STATE.
SON
Relationship wit h Next of Kin:_______________________
Do you keep or int end t o keep Pet s?________________
NO
If yes specify t he kind of pet s: _____________________
ONE
No of Cars:_________________
You shall be required t o produce a let t er of reference from your referee. But meanwhile, kindly supply us
His/ Her det ails.
EDIJALA ABEL
Referee Name:________________________
BLOCK G, PLOT 9, PEAK PARK ESTATE,
Office Address:___________________________________
________________________________________________
ORINBANWA PHASE 2, IBEJU-LEKKI, LAGOS.
Home Address: :___________________________________
NO 5 OLD BALE HOUSE BY NEW MOSQUE,
EPUTU, IBEJU LEKKI, LAGOS.
________________________________________________
09024673558
Tel No:_________________________________
COUSIN
Relationship wit h Referee:__________________
21/08/2023
________________________________ ____________________________
Prospect ive Tenant ’
s Signat ure Dat e
