Attach 1

BANTY & CO.

Passport
Photograph
Kindly write your name
and sign at the back

PROPERTY CONSULTANT ESTATE MANAGER & Valuer

Address: Olagoke Akano Street, Opp., Owolabi Mosque, Abayomi Iwo Road, Ibadan, Oyo State.
Tel: 07038940251
Our Ref: …………………………….. Your Ref: …………………………… Date: ………………
Proposed Tenant Personal Data Form
*All information supplied will be treated with utmost confidentiality & will be used only for the purpose
of securing accommodation. *All information are required and should be completely filled.
Date………
Surname.………………………...…………………………… Other Names…………………………………………………………………………..………....…..
Email Address …………………………………………………………………………………….………..… Telephone no……………………..……………....
Nationality.……………………………..….… State of Origin ……………………..….....Home Town …………………….…….. Tribe ……………….
Address…………………………………………………………………………………………………………………………………………………….…………………
Religion ………………………………………………………………………………………………………………………………………………...…………………….
Date of Birth……………………………………………….……… Marital Status………………………………………….…….. No. of Children………..
Expected Number of Occupants in the house …………………………………………………..…………. No. of cars……………………………..…
Present Residential Address. ……………………………………………………………………………………………………………………………..…………
Name & Address of Office/ Business. …………………………………………………………………………………………..………………………………..
Nature of Business/ Occupation…………………………………………………………………………………..……………………………………………
Position/ Designation/ Department……………………………………………………………………………………………………………………... ....…..
Workplace Telephone Nos………………………………………………………………………….Workplace Email ………………………………….
Description /Location / Type of Accommodation you require ……………………………………………………………………………….………
What will the accommodation be Used for: Residential/Commercial/Industrial/Agricultural)
Do you want to Rent or Purchase? ………………………………………………………………..……. Amount/ Budget –…………………..……..
Spouse’s Name & Address of Work ……………………………………………………………………………………………………………………….…….
Spouse’s Telephone Nos & Email Address: ………………………………………….………………………………………………………………………..
Reason for leaving present Accommodation……………………………………………….............................................................................................
Name, Address & Phone no of your present Landlord…………………………………. ……………………………………………………………….
APPLICANT’S/CLIENT’S ATTESTATION
I…………………………………………………………………………………………………hereby declare that the information given above are
true and accurate.
Note: Photocopy of workplace ID Card is required, including a copy of driver’s license or Int’l
passport
……………….………………
Applicant’s Signature & Date
For Official Use by Agent
Remarks……………………………………………………………..………………………
Approved by………………………………………………………………………………
Attach