Queen’s Park Estate Kuje’s Application Form
Questions
marked by * are required.
1. Upload Passport Photo *
2. Title: *


  • Mr.

  • Miss

  • Mrs.

  • Dr.

  • Chief
3. Surname: *
4. Other Names: *
5. Residential Address: *
6. Date of Birth:
7. Nationality: *
8. State of Origin:
9. Telephone: *
10. Occupation:
11. E-mail: *
12. Postal Address:
13. Marketer Name/Phone No:
14. Next of Kin: *
15. Address (Next of Kin): *
16. Tel (Next of Kin): *
17. Payment Terms: *

  • Outright
    (1,500,000 naira)
  •  18
    Months
    (100,000 naira monthly)
18. Number of Plots: *
19. Plot Options: *

  • Residential
  • Commercial
20. Proposed use of Land: *

  • 4 Bedroom
    Bungalow
  • 5 Bedroom
    Duplex
21. Attestation: *

Agree
Disagree