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    Resident Information Sheet - Building - Fillable v2 PDF

    Uploaded by

    John Basil Manuel

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Resident Information Sheet - Building - Fillable v2 PDF

    Uploaded by

    John Basil Manuel
    48 views1 page

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    Resident Information Sheet - Building - fillable v2.pdf

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    Copyright:

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    48 views1 page

    Resident Information Sheet - Building - Fillable v2 PDF

    Uploaded by

    John Basil Manuel

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Form No.

    F/R-PX2000-16a

    RESIDENT INFORMATION SHEET


    Unit Owner Unit Owner's Authorized Representative Tenant / Lessee
    Please accomplish this form completely and legibly. Should there be any alterations, please inscribe your signature on the altered portions.
    Building / Village Unit No. / Phase, Block & Lot No. Parking Slot No. FOR TENANTS / LESSEES
    Leasing Representative Lease Contract Term
    Name of Registered Owner

    INDIVIDUAL
    Last Name First Name Middle Name

    Residence Address

    Telephone Number Mobile Number Email address

    Age Gender Civil Status


    Male Female Single Married Divorced Widowed
    Citizenship Valid Government-issued ID Number (Passport is required for foreigners) / Date & Place Issued
    (submit photocopy of ID)

    Occupation Office/Business Address Office/Business Phone Number Office/Business Email Address

    SPOUSE'S INFORMATION (if applicable)


    Last Name First Name Middle Name

    Residence Address

    Telephone Number Mobile Number Email address

    Citizenship Valid Government-issued ID Number (Passport is required for foreigners) / Date & Place Issued
    (submit photocopy of ID)

    Occupation Office/Business Address Office/Business Phone Number Office/Business Email Address

    AUTHORIZED REPRESENTATIVE (if applicable; notarized Special Power of Attorney is required)


    Last Name First Name Middle Name

    Relationship with Unit Owner Contact Number Other Instructions

    CORPORATE
    Company Name (as registered) Nature of Business

    Office Address

    Telephone Number Mobile Number Email address

    Name of Company's Authorized Representative (notarized Secretary's Certificate is required) Position

    ADDRESS FOR CORRESPONDENCES


    FOR DOCUMENTS: FOR STATEMENT OF ACCOUNT:
    Mail to residence address Unit/Slip through door Mail to residence address Unit/Slip through door

    Mail to office address Mailbox Mail to office address Mailbox

    Personal Email Others (please specify): Personal Email Others (please specify):

    Office/Business Email _______________________________ Office/Business Email ___________________________

    PAYMENT OF CHARGES (please indicate who will settle the charges) OTHER SPECIAL INSTRUCTIONS
    Association Dues Unit Owner Tenant

    Parking Dues Unit Owner Tenant

    Water Unit Owner Tenant

    Electricity Unit Owner Tenant

    Telephone/Internet/Cable Unit Owner Tenant

    Name(s) of other occupants of the unit (co-residents, office employees, etc.) Relationship /
    Age
    (Use additional sheets if necessary) Position (if employees)

    1.

    2.

    3.

    4.

    5.

    STAY IN?
    Name(s) of Domestic Employee(s) Function YES NO

    1.

    2.

    3.

    Contact Person(s) in case of emergency Relationship Contact Number


    1.

    2.

    By signing this Resident Information Sheet, I hereby consent to the collection and processing of my personal data and other individuals identified herein, in accordance
    with such Privacy Policy as may be adopted by ______________________________ and the Data Privacy Act of 2012. I further agree to be contacted by the
    representatives of ______________________________ regarding any matter relating to my residence in the condominium as well as on latest developments in
    ______________________________ . I signify my conformity to the foregoing and certify that all information provided above are true and correct.

    Signature Over Printed Name* Date


    *Signature will serve as specimen signature for gate pass, work permits, authorizations and other correspondences / requests.

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