PERSONAL INFO

    Surname Name * Other Names *
    Maiden Name * Marital Status *
    Date Of Birth Nationality *
    Contact Address(Not P.O. Box) Email *
    Mobile No. Mailing Address *

    OTHER INFORMATION

    Next Of Kin Relationship
    Address(Redidential) Telephone No.
    Email

    APPLICANT'S EMPLOYMENT

    Profession * Occupation *
    Employer's Name * Employer's Tel No *
    Employer's Full Address * Financial Options *

    PAYMENT OPTIONS

    Outright  By Installments 
    Choice Of Estates * Choice Of Plots*
    Employer's Full Address * Financial Options *

    I hereby affirm that the information provided above in partial fulfillment of the requirement for the allocation of plot(s) of land in your estate(s) a indicate above is true. I accept that any inaccurate or false information given above and/or the non-endorsement or compliance with the Deed of Estate Covenants by me may result in the disqualification of my application. I also accept that this application in its entirety is subject to the availability of the option I have indicated herein and that PREIL shall not be liable if my application is returned as a result thereof. In any such event I also agree to accept the refund of money without any interest attached thereto.