Registration Form

NOTE:
* No field should be empty. Use N/A for field not applicable to you.
* Application Fee is N20,000 & the only account to pay it to is; Access Bank 1809484237 Mercantile Homes and Properties Ltd

Full Name:

Phone Contact(s):

Spouse Name (If married or engaged):

Spouse Phone Contact(s):

Age Bracket

Current Home Address.:

Reason for leaving your present apartment

Employment/Work (Detailed information please):

Religion:

Tribe:

Marital Status:

No of People to live together:

Do you have any pet or animal to live with you:

Type of Accommodation you need:

Do you need it for Business or Residential Purpose:

Preferred Area(s):

Maximum Annual Rent Budget(₦):

Maximum Total Package Budget(₦):

Guarantor’s Name:

Guarantor’s Address

Guarantor’s Phone Contact(s):

Guarantor’s Relationship with you:

Are you aware that the Registration Fee paid is non-refundable, irrespective of the circumstances?

Yes No

Are you aware that you will bear all the costs of taking you and the company’s Representative to and from the locations of inspections?

Yes No

Are you aware that the company will not be held liable for any payment made for any property which was not PAID to (or through) us directly?

Yes No

Are you aware that if you demand for your Rent to be returned, the Agency Commission, Agreement, and Legal Fees are not refundable?

Yes Yes

Application Made By (Name):

Application Date:

Registration fee Paid ₦ :

Note: You may download the PDF form and complete it manually.

REGISTRATION FORM

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