KYC Form

1Page

PERSONAL INFORMATION

Name

Address

Address Line 1

City

State / Province / Region

Country

Marital Status

No. of Children

State of Origin

Religion

Date of Birth

Phone Number (s)

Type Of Accommodation Currently Occupied

Why Do You Require Another Accommodation

Person To Be Responsible For Payment Of Rent

Name Of Present Landlord

Name Of Agent

Phone Number Of The Agent

How Long Have You Lived There

Can You Obtain A Reference From Him If Required

Do you consent and authorize that we conduct a credit Check on you?

If No, State Your Reason

Number Of The Intended Occupant

How Long Do You Intend To Rent The Apartment?

Date