• 5/14 Cathedral Avenue, 3rd Floor, Nicon Building Independence Layout, Enugu
  • 09090976739
Untitled Document
Property Application Form (Application Fee : NGN 20,000)
First Name *
Last Name *
Other Names
Email Address
Date of Birth
Marital Status
Phone Number *
State of Origin
Residential Address
Permanent Address
Place of Work
Business/Employer's Name
Business/Employer's Address
Next of Kin Full Name
Next of Kin Address
Referer's code if any
Referer's Name
Payment Method
Upload Evidence of Payment
I agree that this form is correctly filled to the best of my knowledge and i promise to abide by all rules and regulations given by the developer.