Home Official Application Form

Official Developer Form ₦20,000 Non-Refundable

₦20,000 NON Refundable

REBRANDING HOMES

AND PROPERTIES LTD.

RC: 8198246

"Think a Home, Think Rebranding"

Suite 208 MKK Plaza, No 22 IT Igbani Str., Opp. Nigeria Canadian Int'l School, Beside Vinee Gas, Jabi, Abuja.

Rebrandinghomesandproperties@gmail.com

APPLICATION FORM

SERIAL: NO: A 0081 (Official Form)

2 Passport Photograph with Name & Signature

PERSONAL DATA

1. Name of Applicant * (in full and in capital letter, with surname first)

2. Means of Identification *

Driver's Licence NIN (National ID) Voter's Card

Upload ID Document No file chosen

3. Sex *

4. Marital Status *

5. State of Origin *

6. Phone No *

9. Email Address *

7. Residential Address (Street, Town and State) *

8. Permanent Address (Street, Town and State) *

10. Occupation

(Source of Income)

11. Place of Work

(Monthly Income)

(Annual Turnover)

12. Business / Employer Address

(Existing Credit Facilities)

(Other Business Details)

FOR COOPERATIVE FIRMS (check if applying on behalf of a registered cooperative / company)

17. Next of Kin *

18. Tel (Next of Kin Phone) *

19. Electricity Bill (Upload)

CATEGORIES OF HOUSE & LAND SIZE

Select Property / Estate of Interest

Please specify the square meters of land you want to purchase *

Specify your desired land size in square meters.

MODE OF PAYMENT

Full Payment 100% Outright payment for property/plot

Part Payment 50% 50% Initial deposit with scheduled balance

Note that payment should be made after the developer's approval.

Each applicant is expected to pay for the following charges after allocation; *Infrastructure *Legal Fee *Excavation.

Applicants are to take note that items in B are the available house on ground any other unlisted is open to negotiation with the developer and every effort will be made by the developer to issuance receipt.

OFFICIAL PAYMENT DETAILS:

Bank Name: Zenith Bank

Acct. Name: Rebranding Homes And Properties Ltd

Acct No.: 1229512770

Bank Name: FCMB

Acct. Name: Rebranding Homes And Properties Ltd

Acct No.: 2005585880

Pay Non-Refundable Application Fee (₦20,000) with Paystack now

Instant online checkout via Nigerian Debit Cards, Bank Transfer, or USSD with verified digital receipt.

KNOW YOUR CUSTOMER (KYC)

■ CUSTOMER'S GENERAL INFORMATION

IS CUSTOMER POLITICALLY EXPOSED? *

PLACE OF BIRTH *

LOCAL GOVERNMENT OF ORIGIN *

MOTHER'S MAIDEN NAME *

■ NEXT OF KIN INFORMATION

NAME *

RELATIONSHIP *

PHONE NUMBER *

ADDRESS *

DECLARATION

I, Whose name and address above, declares that the above statement are true and correct to the best of my knowledge. And I promise to abide by all rules and regulations given by the developer.

Applicant Digital Signature *

Sign above with your finger, mouse, or stylus.

Date of Declaration *

Your submission is securely logged with IP and digital verification timestamp.

By submitting, you agree to Rebranding Homes terms of plot allotment.