REGISTRATION FORM Full Name: Phone Contact(s): Spouse Name (If married or engaged): Spouse Phone Contact(s): Age Bracket 20 - 30yrs 31 - 40yrs 41 -50 yrs 51 - 60 yrs 61 yrs and above 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: Yes No 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 Name, Sign, & Date: Send
