Reservation Form #:

PERSONAL INFORMATION (To be filled-up by Tenant)

NAME: Liezel Vonne M. Caballero DATE OF BIRTH: Oct, 6 2000
PERMANENT ADDRESS: P-3 Kaulayanan San Carlos Valencia City, Bukidnon Philippines
EMAIL: liezelvonnecaballero@gmail.com CONTACT NUMBER: 09264656574
SCHOOL: Mountain View College YR/COURSE: Bachelor of Science in Accountancy
WORK/PROFESSION: N/A COMPANY NAME: N/A
MONTHLY RATE: 4,400 UNIT TYPE RESERVED:Typical Unit with Window for 3 pax.
MOVE-IN DATE: June, 4, 2024 LENGTH OF STAY: 12 months
FAMILY INFORMATION (To be filled-up by Tenant)
FATHER’S NAME: Charlie Calvin C. Caballero OCCUPATION: Businessman
PERMANENT ADDRESS: P-3 Kaulayanan San Carlos Valencia City, Bukidnon Philippines
EMAIL: N/A CONTACT NUMBER: 09173148070
MOTHER’S NAME: Hazel M. Caballero OCCUPATION: Farmer
PERMANENT ADDRESS: P-3 Kaulayanan San Carlos Valencia City, Bukidnon Philippines
EMAIL: N/A CONTACT NUMBER: 09559055270

IN CASE OF EMERGENCY IN CASE PARENTS ARE NOT AVAILABLE (To be filled-up by Tenant)
CONTACT PERSON: Mark C. Caballero RELATION: 1st Cousin
PERMANENT ADDRESS: Blk 2 Lot 6 unit 9, Ceris 1 Village, Canlubang, Calamba Laguna
EMAIL: N/A CONTACT NUMBER: 09456743360
NOTE: Please provide family picture for emergency purposes only.

--To be filled up by Dorm Staff--

Assessment of Payment
PAYMENT FOR: AMOUNT DATE TO BE SETTLED AR NUMBER AR DATE
Reservation Fee
Advance Rental
Security Deposit
Total

I understand that this Reservation is a “First Come First Serve” basis and subject to availability of
Spods/Beds/Rooms at Forbes Hall.
Php. 4,400
I understand also that the Reservation Fee amounting to: __________________________________is
NON-TRANSFERABLE and NON-REFUNDABLE if decided not to push through my booking at Forbes Hall, but the
same shall be deducted or credited from/as my payment of Security Deposit upon booking.
June, 2 2024
This reservation will expire on __________________, therefore I agree to book and settle all payments
before the said date. Otherwise, my reservation fee shall be forfeited.
I attest that all information above is true and correct.

LIEZEL VONNE M. CABALLERO

__________________________ APRIL 23, 2024
___________________________
Signature over Printed Name Date

Received By:

________________________ __________________________
Forbes Hall Representative Date

___________________________ __________________
Signature over Printed Name Date