CLIENT’S INFORMATION SHEET
YOUR PERSONAL BACKGROUND
Client’s Surname: ________________________ First Name: ___________________________________ KINDLY FILLED OUT
INFORMATION
Address : ____________________________________________________
_____________________________ Email Address __________________
Tel No(s) _____________________ Mobile No. ______________________ DATE: ________________________
Birthdate _________ Age _____ Birthplace ______________ PROJECT: ____________________
Gender: ( ) Male ( ) Female LOCATION: ___________________.,
Citizenship: ( ) Filipino ( ) Others:_____________________ ______________________________
LOT AREA: ____________________
Civil Status: ( ) Single ( ) Married
FINANCING SCHEME :__________
( ) Widowed ( ) Separated REFFERED BY: ________________
EDUCATIONAL BACKGROUND
ABOUT THE PROJECT:
( ) High School ( ) College ( ) Post Graduate
BUDGET : _________
EMPLOYMENT
MODEL HOUSE : NEW
( ) Own Business ( ) Private ( ) Government DESIGN/CONCEPT :_______________
( ) Housewife ( ) Retired ( ) Others: ____________________ PREFERRED FLOOR AREA _________
Name of Company/Business ______________________________________ NO. OF BEDROOMS : ______
Business/Office Address _________________________________________ NO. OF T&B : ______
CARPORT/GARAGE : _______
Telephone No(s). ____________ Product/Services _______________
ADDITIONAL FEATURES:______
Position Held ____________________ No. of Years w/ the Company ______
MAID’S QRTR W/TOILET _____
SERVICE AREA _____
YOUR SPOUSE’S PERSONAL BACKGROUND SET BACK AROUND THE HOUSE
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Client’s Surname: ____________ First Name: ___________________________________
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Address : ____________________________________________________
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_____________________________ Email Address __________________
Tel No(s) _____________________ Mobile No. ______________________
Birthdate _________ Age _____ Birthplace ______________ HOW DID THE CLIENT CAME TO
KNOW ABOUT ROSH CONSTRUCTION
YOUR FINANCIAL PROFILE CORPORATION?
Your Gross Monthly Income _______________________________________ ( ) NEWSPAPER ADS
Your Spouse’s Gross Monthly Income _______________________________ ( ) ONLINE ADS
Income from Other Sources _______________________________________ ( ) STREAMERS/POSTERS
TOTAL MONTHLY INCOME ______________________________________ ( ) BROCHURES/LEAFLETS
( ) AGENT/BROKER
Tin Number:_________________________
( ) FRIENDS/RELATIVES
YOUR DEPENDENT(S) ( ) OTHERS ______________________
Name Age
___________________________________________ ________________ CIS#2024-00188
REMARKS:
___________________________________________ ________________
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CLIENT’S SIGNATURE _______________________ DATE _____________ ________________________________
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TO GOD BE THE GLORY!
