CUSTOMER INFORMATION SHEET
NAME OF BUYER: ________________________________________________________________________________
                  (Surname)                       (First Name)                     (Middle Name)
A. 1. PURPOSE IN BUYING A UNIT
                   To live in; please indicate number of dwellers: ____________
                   To be rented out
  2. WHY DID YOU CHOOSE THE PROJECT?
           Good location of property                                                                               Excellent service of Sales Agent
           House/unit design and quality                                                                           Excellent service of Account Officer
           Village/Subdivision Amenities                                                                           Others (pls. specify) ____________________________
           Affordable and flexible payment schemes
           Reliability and reputation of Developer
  3. HOW DID YOU LEARN ABOUT OUR PROJECT/S?
                   Newspaper; please specify,_________________
                   Exhibit; please specify location,______________                                                 Internet; please specify website, ____________________
                   Billboard/Directional Signages: please specify                                                  Magazine, please specify, _________________________
                   location, ________________________________                                                      Referral: please specify by whom, ___________________
                   Television; please specify channel, ___________                                                 Others: please specify, ___________________________
B. Personal Information
Age:                           Sex:                    Civil Status:                         Birthday:                                       Nationality:
Home Mailing Address:                                                                                             Tel No. (Residence):
Address Abroad (if Any):                                                                                          Tel No. (Abroad, if any):
Office Address:                                                                                                   Tel No. (Office):
E-mail Address:                                                                                                   Mobile Number:
Office/Business Name:                                     Position:
                                                                                                                  ** Occupational Field:
C. Spouse information (if Married)
Name:
                 (Surname)                                                               (First Name)                                                             (Middle Name)
Age:                                      Sex:                                           Birthday:                                          Nationality:
Address Abroad (if Any):                                                                                            Tel No. (Abroad, if any):
Office Address:                                                                                                     Tel No. (Office):
E-mail Address:                                                                                                     Mobile Number:
Office/Business Name:                                      Position:
                                                                                                                    ** Occupational Field:
D. This is to Certify that the information above are true and correct.
                       _______________________________________                                                            ________________________________________________
                           Buyer’s signature over printed name                                                                    Spouse’s signature over printed name
   TIN: _________________________________________________                                                    TIN: ____________________________________________________
    Res Cert/ Passport No. __________________________________                                                Res Cert/ Passport No._____________________________________
    Date & Place Issued: ____________________________________                                                Date & Place Issued:_______________________________________
                                                                      ____________________________________________
                                                                       Atty-in-fact Signature over printed name (if applicable)
                                          Address: ____________________________________________________________________
                                         Tel Number: ____________________________                             Mobile Number: ______________________
                                         Res Cert/Passport No. _____________________ Date & Place Issued___________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -To be Filled-Out by AO - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1. UD      SU: _________________________________                           HM/UT: _________________________________                         BL/UN: _________________________________
2. FD     PMI: ________________________________                            SMI: ____________________________________                        ND: ____________________________________
          PIM: ________________________________                            FS: _____________________________________                        SOP: ___________________________________
Account Officer’s Signature Over Printed Name: _________________________________
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                                                                                                                                                                                   ver(01) 09/23/2013
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