Jide Taiwo & Co

Agege@jidetaiwoandco.com

PERSONAL DATA/INFORMATION (CONFIDENTIAL)

SECTION A (To be filled in Tenant’s handwriting)

 SURNAME: ………………………………………………………………………………………...
 OTHER NAMES: …………………………………………………………………………………..
 CONTACT ADDRESS: ……………………………………………………………………………
 (a) NATIONALITY: ………………… (b) PASSPORT NO. (If Non Nigerian) : ………………...
 STATE OF ORIGIN: ……………………………………………………………………………….
LOCAL GOVERNMENT: ………………………… TOWN/VILLAGE: ………………………...
 SEX: …………………………… MARITAL STATUS: ………………………………………….
 AGE: ……………………… TELEPHONE: …………………..…………………………………..
 PERSONAL EMAIL: ………………………………………… NUMBER OF CHILDREN: …….
 PROFESSION/OCCUPATION: …………………………………….POSITION: ………………..
 OFFICE/BUSINESS ADDRESS: ………………………………………………………………….
 FORM OF IDENTIFICATION: ……………….… OFFICE EMAIL: ……………………………
 NEXT OF KIN
Name: ………………….…………..…....……… Name: ………..……..………..………………...
Address: ………………………………………… Address: ……………………………………….
Telephone: ……………………………………… Telephone: …………………………………….
Relationship: ……………………………………. Relationship: …………………………………..
Place of work: ……………………....................... Place of work: ………………………………....
Email: …………………………………………… Email: …………………………………………

SECTION B

 PURPOSE: RESIDENTIAL ( ) COMMERCIAL ( )

 DESIRED IMPROVEMENT: ……………………………………………………………………...
 WHAT FACTOR REALLY STIMULATES YOUR INTEREST IN THE PROPERTY:
……………………………………………………………………………………………………….
 INITIAL RENT ACCEPTED/BUDGET FOR DESIRED LOCATION: ………………………….
 SALARY PER ANNUM: …………………………………………………………………………..
 PERSON RESPONSIBLE FOR RENT PAYMENT: ……………………………………………...
 DO YOU KEEP PETS – YES/NO – WHAT KIND? : …………………………………………….
 NUMBER OF VEHICLES OWNED: ……………………………………………………………...
 ADDRESS OF YOUR PRESENT PLACE OF RESIDENCE: …………………………………….
 NAME AND ADDRESS OF PRESENT LANDLORD: …..………………………………………
……………………………………………………………………………………………….............
 REASON(S) FOR LEAVING PRESENT RESIDENCE: ………………………………………….
 NUMBER OF INTENDED OCCUPANTS: ……………………………………………………….
 RELIGION: CHRISTIANITY ( ) ISLAM ( ) OTHERS (SPECIFY) : ………………...
 NAME & CONTACT PHONE OF PASTOR/IMAM: ………………………………………….…
 PLACE OF WORSHIP: …………………………………………………………………….………
 HOW SOON DO YOU WANT TO TAKE POSSESSION?
IMMEDIATELY ( ) ONE MONTH ( ) THREE MONTHS ( )

Applicant’s Signature/Date: ………………………………………………………………………...

 GUARANTORS:
(Please, give names and addresses of 2 persons who shall be required to provide a leter of
guarantee/recommendation on letter head)

Name: ………………….…………..…....……… Name: ………..……..………..………………...

Telephone: ……………………………………… Telephone: …………………………………….
Address: ………………………………………… Address: ……………………………………….
Place of work address: ……………………….… Place of work address: …….…………………..
Occupation: …………………………………...… Occupation: …………………………………...
Position in the Company: …………………… …. Position in the Company: ……………………..
Marital status: ……………………....................... Marital status: ………………………………....
Signature: ………………………………………. Signature: ……………………………………...
Email: …………………………………………… Email: …………………………………………