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Berlin Plaza, no 110 Ogui Road, Enugu
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Contact Us
Prospective Form
Prospective Form
Fill this form if you are interested in any of our properties
A. Personal data;
Full name:
Gender:
Select gender
male
female
Phone number:
Email:
(Optional)
Contact Address:
State of origin:
Select State
Abia
Abuja
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nassarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
LGA of Origin:
Name of Apartment: (name of Apartment you are letting)
Type of Form:
Select Type
student
individual
coporate
Student Profile
School:
Department & level:
Course duration:
Reason for accommodation
Rent Budget:
Parent name and Phone Number
Individual Profile
Occupation
marital status
Select one
single
married
divorced
Size of family
Spouse Name/State (if married)
Name and Address of spouse employer
Designation
Company Profile
Company Name:
RC No:
Business Address:
Agent code (Optional):
Type of apartment:
Select property type
Landed property
Shop
Warehouse
Self-con
One Bedroom suite
Two Bedroom suite
Three Bedroom suite
Duplex (3 Bedroom)
Duplex (4 Bedroom)
Duplex (5 Bedroom)
House Number:
Any Criminal or Police case?
If yes enter below:
Referee 1
Enter using this format: Name, (Relationship), Address, Phone Number:
Referee 2
Enter using this format: Name, (Relationship), Address, Phone Number:
Ogbunta And Sons LTD