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RC: 1306992

YAMUSAD CONCEPT INTERNATIONAL LTD


REAL ESTATE AND GENERAL MERCHANDISE

Address: 2nd Avenue 212 Road, House 8


Efab Global Estate, Abuja.
Address: 5th Avenue, G Close, House 9
Festac Town, Lagos
Tel: 08067127259, 09017057556
P email address: adamubayawoab@gmail.com

ASSPORT
TENANCY REQUEST FORM
A. BIO-DATA:
Name (Surname first): OKORO ONYEKACHUKWU MAXWELL
Sex: MALE State of Origin: ENUGU Religion: CHRISTIAN
Local Govt. Area: OJI RIVER Town or Village: ALUM-INYI
Occupation: BUSINESS Telephone Nos: 08151563631
Marital Status: ENGAGED No. of Dependants (if any) : TWO
Contact Address: PLOT S/9 STANDARD LAYOUT (PART) OF UMUCHIGBO IJI NIKE ENUGU,
ENUGU EAST E-mail: MAXWELLONYI@GMAIL.COM
B. EMPLOYMENT DETAILS:
Name of Employer: SELF EMPLOYED
Address of Employer: PLOT S/9 STANDARD LAYOUT (PART) OF UMUCHIGBO IJI NIKE ENUGU
Nature of Business: FASHION AND ESTATE DEV Telephone Nos: 08151563631
C. ACCOMMODATION:
Type required: THREE BEDROOM APARTMENT Flat/BQ………………………………………
State Reason (s) for leaving current place of residence: RELOCATION OF BUSINESS
D. AFFIRMATION:
I/We OKORO ONYEKACHUKWU MAXWELL hereby affirm that the
information given above are true and correct to the best of my knowledge, and pledge to
abide by the rules and regulations guiding my Tenancy, if granted. Also, I/We agree to sign
and execute a Tenancy Agreement on the subject property.

SIGNATURE: DATE: 30/01/2024


E. UNDERTAKING FROM A GUARANTOR:
I OKORO CHIBUZOR (Name in full) a Nigerian of ENUGU State
of Origin and presently residing at No BECKY 2 CLOSE TO CITY COLLEGE 82 MBAKA STREET,
CITY COLLEGE, KARU do hereby certify that
Mr/ Mrs / Miss OKORO ONYEKACHUKWU MAXWELL (Names in full) is well
known to me, and is very responsible and not of a questionable character. I certify that
He/She is able to pay the annual rent of N2,500,000.00 NET of Taxes or
other statutory Deductions) in advance or any other subsequent upward review as
mutually agreed with the Landlord/Landlady.

In the event of default on his/her obligations I hereby undertake to assume full


responsibility on his/her behalf and fully discharge all outstanding obligations.
Signature…………………………………………………………Date: 30/01/2024
Office Address –MAMBILLA BARRACKS MAMMY MARKET, SHOP NUMBER EXTENSION
B5,ASOKORO,ABUJA.
Occupation: FASHION DESIGNER Telephone 07068600267
Nos………………………………………………………………………………………………………. Note: Please
attach photocopy of of ID Card/ National ID Card/Driver’s License or International
passport.

F. Agreed Rent TWO MILLION FIVE HUNDRED THOUSAND NAIRA ONLY (Yearly)
Mode of payment cash/Other (Specify) BANK TRANSFER

PROCESSING AGENT………………………………………………………………………………
ADDRESS OF AGENT……………………………………………………………………………….
Signature/Stamp……………………………………………………
Date……………………………………………………………………….

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