CUSTOMER INFORMATION SHEET

NAME OF BUYER: ________________________________________________________________________________

(Surname) (First Name) (Middle Name)
A. 1. PURPOSE IN BUYING A UNIT
To live in; please indicate number of dwellers: ____________
To be rented out
2. WHY DID YOU CHOOSE THE PROJECT?
Good location of property Excellent service of Sales Agent
House/unit design and quality Excellent service of Account Officer
Village/Subdivision Amenities Others (pls. specify) ____________________________
Affordable and flexible payment schemes
Reliability and reputation of Developer
3. HOW DID YOU LEARN ABOUT OUR PROJECT/S?
Newspaper; please specify,_________________
Exhibit; please specify location,______________ Internet; please specify website, ____________________
Billboard/Directional Signages: please specify Magazine, please specify, _________________________
location, ________________________________ Referral: please specify by whom, ___________________
Television; please specify channel, ___________ Others: please specify, ___________________________
B. Personal Information

Age: Sex: Civil Status: Birthday: Nationality:

Home Mailing Address: Tel No. (Residence):

Address Abroad (if Any): Tel No. (Abroad, if any):

Office Address: Tel No. (Office):

E-mail Address: Mobile Number:

Office/Business Name: Position:

** Occupational Field:

C. Spouse information (if Married)

Name:
(Surname) (First Name) (Middle Name)
Age: Sex: Birthday: Nationality:
Address Abroad (if Any): Tel No. (Abroad, if any):

Office Address: Tel No. (Office):

E-mail Address: Mobile Number:

Office/Business Name: Position:

** Occupational Field:

D. This is to Certify that the information above are true and correct.

_______________________________________
Buyer’s signature over printed name
TIN: _________________________________________________
Res Cert/ Passport No. __________________________________
Date & Place Issued: ____________________________________
________________________________________________
Spouse’s signature over printed name
TIN: ____________________________________________________
Res Cert/ Passport No._____________________________________
Date & Place Issued:_______________________________________

____________________________________________
Atty-in-fact Signature over printed name (if applicable)

Address: ____________________________________________________________________
Tel Number: ____________________________ Mobile Number: ______________________
Res Cert/Passport No. _____________________ Date & Place Issued___________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -To be Filled-Out by AO - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1. UD SU: _________________________________ HM/UT: _________________________________ BL/UN: _________________________________

2. FD PMI: ________________________________ SMI: ____________________________________ ND: ____________________________________

PIM: ________________________________ FS: _____________________________________ SOP: ___________________________________

Account Officer’s Signature Over Printed Name: _________________________________

F-SEL-CRMD001
ver(01) 09/23/2013
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