D'Bricks Court Form

D'Bricks Court

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Client information

D'Bricks Court(Outright Plan)
Note: You're to pay 2.5% of your property cost for Deed and N500,000 for Survey

Title

First name

Second Name

Surname

Date Of Birth

Gender

Address

Occupation

Telephone

State Of Origin

Maritial Status

Post Code

State Of Residence

Client Passport(Not Higher than 600kb)

Means Of Identification

Means Of Identification Data Page(Not Higher than 600kb)

Nationality

Payment Method

Your Email Address

Employer / Business Name

Next Of Kin Information

Next Of Kin Firstname

Next Of Kin Second Name

Next Of Kin Address

Next Of Kin Telephone

Relationship To Next Of Kin

Referral Information

Referral Fullname

Referral Phone Number

Referral Email Address

Referral Group

Initial deposit is 5,000,000
Click the following to pay statutory fee now
POWER INFRASTRUCTURE==750000
WATER INFRASTRUCTURE==500000
INTERNET INFRASTRUCTURE==150000

Total Cost Per Unit

Enter Number Of Unit

Total Cost

Amount Paying

Know Your Customer (KYC) Application Form

Your Title

Your First name

Your Second Name

Your Surname

Maiden Title

Your Maiden First name

Your Maiden Second Name

Your Maiden Surname

Parent/Spouse Title

Your Parent/Spouse First name

Your Parent/Spouse Second Name

Your Parent/Spouse Surname

Your Date Of Birth

Gender

Citizenship

Select Proof Of Identity

Input Selected Number

Select Proof of Identity To be Upload showing the current home address

Upload Proof Of Identity

Your Address (Matching Your proof of Identity)

Your City/Town/Village

Your Telephone Number

Your Source Of Income

Declaration Date Telephone Number

Declaration Place of Residence

I hereby affirm that I have gone through and clearly understand the terms and conditions contained herein and intend to be bound by same. I certify that all information provided by me are correct and can be used for this purpose of purchase of a 2 Bedroom Detached Bungalow in the above estate name.