RESIDENT INFORMATION FORM

Please complete all information and return to the Welcome Center. Each co-resident must complete a separate form.

GENERAL INFORMATION
First Name: Eswara Rao Last Name: Badam Middle Initial:
Gender: M F Opt Out Marital Status: Married Single Divorced Separated Widowed Opt Out
Email: eswarbharani@gmail.com Cell Phone: 346 377 2696 Home Phone:

EMPLOYMENT
Employer: H Town Technologies Inc Work Phone: 346 754 5189
Position: SAP Functional Consultant Length of Employment: years months
Street: 1011 Highway 6S, Ste 118
City: Houston State: Texas Zip: 77077
Employer Industry (Select one):
Banking/Insurance/Legal Construction Education Energy/Utility Finance/Accounting
Government Leisure/Hospitality Manufacturing Medical Not Currently Employed
Retail Technology Transportation Other Student

OTHER OCCUPANTS
List the names of all persons other than the lease signer(s) who will occupy the apartment home.
First Name Last Name Birthdate Relationship
Sridevi Matcha 06/28/1984 Spouse
Lasya Bharani Badam 12/27/2009 Daighter
Chanakya Sai Badam 08/21/2014 Son
VEHICLE INFORMATION
List all vehicles to be parked by you or other occupants, including cars, trucks, motorcycles, etc.
Year Make/Model Color License Plate # State
2015 Toyota, Corolla Metalic Silver MYL-6140 Texas

PET INFORMATION
List all pets occupying the apartment.
Note: If you obtain a pet any time after moving into your apartment home, you must notify the community management and execute a pet addendum.
Type of Pet Name Breed Weight Color Age

EMERGENCY INFORMATION
Emergency contact person over 18 years of age not living with you. Family member preferred.
First Name: Hussain Reddy Last Name: Yatam Relationship to You: Friend
Email: hussainreddy58@gmail.com Cell Phone: 281 705 3802 Home Phone:
Street: 2495 S Mason Road Apt. Number: 427
City: Katy State: Texas Zip: 77450

In the event of your death or if you are seriously ill, missing, or in jail or penitentiary, you authorize the Owner to:
(i) grant your emergency contact identified above access to your Unit at a reasonable time and in the presence of the Owner or
the Owner’s agent;
(ii) allow your emergency contact identified above to remove any of your property found at the Unit (and any property you may
have in any mailbox, garage, storage space or common areas in the Community); and
(iii) refund your security deposit, less lawful deductions, to your emergency contact identified above.
If you are seriously ill or injured, you also authorize the Owner to send for an ambulance at your expense; however, you
acknowledge that the Owner is not legally obligated to do so.

Eswara Rao B
_______________________________________________________________________________________
02/25/2021

Resident Name Printed Signature Date

Picture ID verified by: Date: