TENANT PESONAL INFORMATION

1. Name …………………………………………………………………………………………………………………….

(First name) (Middle name) (Last name)

2. State of origin ……………………………………………………………………………………

3. L.G.A …………………………………………………………………………………………………
4. Tribe …………………………………………………………………………………………………
5. Gender …………………………………………………………………………………………….
6. Job/work Status …………………………………………………….............................
7. Place of work …………………………………………………………………………………….
8. Kind of job/work ……………………………………………………………………………..
9. Home/village address ……………………………………………………………………….
10.Mobile No. ………………………………………………………………………………………

NEXT OF KIN
1. Name ……………………………………………………………………………………………………………………

(First name) (Middle name) (Last name)

2. Contact/residential address …………………………………………………………….

3. Relationship …………………………………………………………............................
4. Mobile No ……………………………………………………………………………………..