HIGH-VALUE CONSULTING SERVICES

HOUSE OCCUPANT FORMS

Date: _________

Kindly fill in the details requested below. Your information would not be passed
on to a third party. It is for record purposes.

Attach Recent
Passport

Thanks.

Photograph Here
NAME: _______________________________________________________________________
NATIONALITY: __________________________________ STATE______________________
DATE OF BIRTH: ______________________________________________________________
HOME TOWN/LGA:____________________________________________________________
______________________________________________________________________________
ADDRESS (WHERE IN LIVE PRESENTLY): _______________________________________
______________________________________________________________________________
______________________________________________________________________________
SINGLE

MARRIED

DIVORCED

IF MARRIED, HOW MANY CHILDREN

SEX: ____________________

RELIGION: ________________________________________

PHONE NO.:__________________________________________________________________
OCCUPATION:________________________________________________________________
E-MAIL (IF ANY):______________________________________________________________

Tick Flat needed:

1 bedroom

Flat no.:
NB: The fee attached to this form is not refundable

2 bedroom