Ibale Okan Estate

Subscription form

PERSONAL DATA

Applicant 1
PLACE YOUR PASSPORT HERE

Title

Surname

First name

Other Name

Gender:

Marital Status:

Date of Birth:

Nationality

Residential Address

Mailing Address (If different from Residential Address):

Email Address:

Mobile:

Applicant 2
PLACE YOUR PASSPORT HERE

Title

Surname

First name

Other Name

Gender:

Marital Status:

Date of Birth:

Nationality

Residential Address

Mailing Address (If different from Residential Address):

Email Address:

Mobile:

CURRENT EMPLOYMENT DETAILS
Applicant 1
Occupation:

Address:

Office Phone:

Applicant 2
Occupation:

Address:

Office Phone:

IDENTIFICATION
Applicant 1

Identification number:

Applicant 2

Identification number:

NEXT OF KIN
Applicant 1
Name:

Relationship:

Phone:

Applicant 2
Name:

Relationship:

Phone:

PROPERTY OF CHOICE
486sqm:

648sqm:

PAYMENT OPTIONS
PREFERRED PAYMENT PLAN:

FOR OFFICIAL USE ONLY
Realtor’s Name

Realtor’s Mobile:

Realtor’s Email:

Realtor’s ID No:

Date Treated:

DECLARATION
I / WE

subscriber(s) to IBALE OKAN Estate do acknowledge the obligation to pay outrightly or on a monthly basis all payment(s) due on plot(s) subscribed for, in the above named estate. That failure to make payment in two (2) consecutive months after the agreed date(s) of payment will lead to contract re-negotiation or revocation. That in the event of revocation or subscribers' withdrawal from the purchase transaction, 30% of the sum paid will be forfeited to Dimsi-Maj Ltd., while 70% will be processed and refunded to the subscriber(s) within three (3) months. That if any information supplied for the purpose of this transaction is found to be misleading, my/our allotment(s) will either be withdrawn or not considered.

I / WE Agree

Date

NOTE:
All payment MUST be made in favour of the company (Dimsi-Maj Ltd.) and NOT to individual(s):

ACCOUNT NAME: DIMSI-MAJ LIMITED
BANK NAME: FIRST BANK OF NIGERIA LIMITED
ACCOUNT NUMBER: 2034470657

Proof of Payment MUST be confirmed before issuance of receipt.

FOR MORE INFORMATION, PLEASE, CONTACT US:

Ibale Okan Estate

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