PROCESSING SECURE PORTAL APPLICATION... Please wait while your files and documents are processed and compressed. ₦15,000Non-Refundable OFFICIAL ISSUING STAFF NAME: 1. Bio 2. Kin/Agent 3. Corporate 4. Property 5. Terms Individual Applicant’s Information AFFIX PASSPORT PHOTOGRAPH Images over 1MB will be auto-compressed. TitleMrMrsMiss First Name Middle Name Last Name Marital Status Mother's Maiden Name Date of Birth Nationality Occupation ID Number Location Form of Identification Passport Driver’s License National ID Card Voter’s Card Upload Means of Identification (PDF, JPG, PNG - Max 1MB) Accepts JPG, PNG, PDF. Image files over 1MB will be auto-compressed. House No. Street Name State Country Primary Contact Mobile Number +234 Email Address Next of Kin & Agent Information Next of Kin Name Kin Mobile Number Address Agent’s Name Mobile Number Preferred Mode of Communication Calls Text Messages Emails Physical Meetings Refund Account Details (For Refund Purposes Only) Bank Name Account Number Account Name Corporate Applicant’s Information Corporate Name RC No. Corporate Address Contact Address Correspondence Address Mobile Number Email Property Selection + Add Property Unit TOTAL CONTRACT VALUE: ₦0 Terms and Conditions LAND PAYMENTWEMA BANKThe Brooks Realty Africa LTD0127127776 APPLICATION FEEWEMA BANKBrooks Petty Cash0127163965 Declaration I AGREE TO COMPLY WITH THE TERMS AND CONDITIONS ON THIS APPLICATION FORM AND TO RETURN SAME WITHOUT DELAY. Signature (Full Name) Date SUBMIT & NOTIFY FINANCE Previous Next Step
