Haven City Phase 1 Form

Haven City Phase 1

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Client information

Haven City Phase 1 (Outright)
Kindly fill the form with correct details and make sure the names are well spelt, as any correction after documents has been issued will attract 50% extra charges on the documentation fee.

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)

More Information

Purpose Of Buying

Nationality

Your Email Address

Payment Type

Enter Employer / Business Name

Next Of Kin Information

Next Of Kin Firstname

Next Of Kin Second Name

Next Of Kin Surname

Next Of Kin Address

Next Of Kin Telephone

Referral Information

Referral Fullname

Referral Phone Number

Referral Email Address

Referral Group

Note: The Cost Of Initial Deposit For This Land is 160,000

Land Cost Per Plot:

Confirm Number Of Plots

Total Cost (times Plot):

All Cost(Documentation & Plot)

Amount Paying:

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 Haven City Phase 1 in the above estate name.