Date: _____________
CUSTOMER INFORMATION FORM
Name (Mr. /Mrs.
/Ms.):______________________________________________________________________
Mailing Address:
___________________________________________________________________________
Contact Number:
___________________________________________________________________________
Profession:
________________________________________________________________________________
Property (Required) Information:
Plot/ Floor/
Villa/Commercial/Other:____________________________________________________
Remarks:_______________________________________________________________________________
___
__________________________________________________________________________________________
__________________________________________________________________________________________
Date: _____________
Customer Signature Attended by:
_________________