PROSPECTIVE TENANT FORM

Individual applications required from each adult occupant.

MY PERSONAL INFORMATION
Complete Name: _____________________________________________________
Place of Birth: _______________________________________________________

Birthdate: _______________________

Present Address: _____________________________________________________________ Zip Code: _______________

Years at present Address: ______________
Permanent Address: ___________________________________________________________ Zip Code: ______________
Years at permanent Address: ______________
SSS Number: ________________________

Contact Number/s: ________________________________

MY WORK
Employment
Private Sector

Government

Employed Professional

Self-Employed w/ Business

Self-Employed Professional

Retired/Unemployed

Non-Officer

Senior Officer (AVP up)

Rank
Position _____________________

Junior Officer (Supervisor to Manager)

Job/Business Tenure

Current Job Business _______________Years. _____________ Mos.

Previous Job

_______________ Years _____________ Mos.

Gross Annual Income ______________________

MY PERSONAL/ TRADE REFERENCES

Personal reference not living with me
Name: ______________________________________________

Relationship: ________________________________

Company Name/Address: ______________________________________________________________________________

Contact No/s.: ___________________________________________________
Name: ______________________________________________

Relationship: ________________________________

Company Name/Address: ______________________________________________________________________________

Contact No/s.: ___________________________________________________

IN CASE OF EMERGENCY, please notify:

Name:______________________________________________

Contact No. _________________________________

Address: ________________________________________________________
Relationship: ________________________________
Name:______________________________________________

Contact No. _________________________________

Address: ________________________________________________________
Relationship: ________________________________

DOCUMENTS REQUIRED
1. Submit ANY ONE of the following:
a. original copy of Certificate and Income (COEI), length of service and compensation breakdown
b. photocopy of latest full month payslip
c. photocopy of credit card 3 months bill
d. ITR (latest BIR Form 2316), signed by employer's authorized representative
e. Any utility bill under the prospect's name
2. Photocopy of at least one(1) valid photo-bearing and signature-bearing identification document front and back, issued and
signed by an official authority: Passport, Driver's License, Professional Regulations Commission (PRC) ID, NBI Clearance,
Voter's ID, Seanman's Book, HDMF IDs, etc.

Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items.

The undersigned makes application to rent housing accomodations designated as:

Room No. ______ located at North Road Plaza Bdg. Labogon, Mandaue City, Cebu, Philippines
the rental for which is Php ______________ per _______________ and upon approval of this application agress
to sign a rental or lease agreement and to pay all sums due, including required deposits, before occupancy.

Date Signed: ________________________

_____________________________________
SIGNATURE OVER PRINTED NAME