Queen’s Park Estate Kuje’s Application Form |
Questions
marked by * are required. |
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Estatename: |
1. |
Upload Passport Photo *
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2. |
Title: *
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3. |
Surname: *
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4. |
Other Names: *
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5. |
Residential Address: *
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6. |
Date of Birth:
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7. |
Nationality: *
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8. |
State of Origin:
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9. |
Telephone: *
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10. |
Occupation:
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11. |
E-mail: *
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12. |
Postal Address:
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13. |
Marketer Name/Phone No:
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14. |
Next of Kin: *
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15. |
Address (Next of Kin): *
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16. |
Tel (Next of Kin): *
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17. |
Payment Terms: *
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18. |
Number of Plots: *
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19. |
Plot Options: *
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20. |
Proposed use of Land: *
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21. |
Attestation: *
Agree Disagree |
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