RENTAL APPLICATION

Application to Rent a Bedspace 2C Balzain Highway Centro 12 Tuguegarao City

Name – First, Middle, Last Please PRINT all Birthdate-
Entries) Nickname Age mm/dd/yyyy Sex – M/ F

Marital Status- Single or Tax ID Number (if

Married Cell Phone Number available) Enter Date Exit Date

Name and Address: School

Name of School / Company Campus / Company

Major /
ID Number: School / Company Course / Company Position Department Year

Home address – Street number, Street name, Purok name, Barrio, Town or
City, Province, Zip Code

Cell/Landline
Father's Name or Legal Guardian Home Address if different from above Number

Cell/Landline
Mother's Name Home Address if different from above Number

Cell/Landline
Contact in case of an Emergency -Name Home Address if different from above Number

1. All the information I provided herein are true, accurate, and current as of the date
of this application; I further understand that I can be required to provide additional
Information. If there are any changes on the information herein, I will update within
15 days of the changes ________Initials acknowledging this statement

2. I promise to pay P 2,200.00 (written in words) – Two Thousand Two Hundred

Pesos a month and due at the beginning of each month_________ Initials

Photo/Date Taken _____/_____/_____

3. I am also providing a security deposit of P__________________ (written in words - ___________________

_______________________________________) Pesos which will be held by the landlord until the termination
of the Rental Agreement which can be applied to the final rent and any damages to the property I caused while
renting _________ Initials

4. I have read all the House Rules and promise to comply and abide by them and further understand that my
Rental Agreement can be terminated and subject to eviction should I violate any of the provisions enumerated
in the said Agreement and House Rules_________ Initials

_________________________________________________________________ ____________________________________
Signature over Printed Name Date signed (Also date of Application)

Application Received and Reviewed by _________________________________ (date) ________/________/___________

BED SPACER’S VALUABLE CHECKLIST
Electronic devices, Appliances & Others

Item Brand & Model

_________________________________________________________________ ____________________________________
Signature over Printed Name Date signed (Also date of Application)

Application Received and Reviewed by _________________________________ (date) ________/________/___________