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JOHN ZEDOMI & ASSOCIATES

APPLICATION FORM
APPLICANT INFORMATION
NAME AKEEB ORIYOMI MARTYNS
ADDRESS 21/23 BALOGUN STR. OFF AGO PALACE WAY, OKOTA, ISOLO
PHONE NO 08030492767............
OCCUPATION MARKETING COMMUNICATION..
E MAILyomimartyns@gmail.com, ebeleyomimartyns@gmail.com...
SPOUSE
NAME EBELE YOMI-MARTYNS.
ADDRESS 21/23 BALOGUN STR. OFF AGO PALACE WAY, OKOTA, ISOLO ..
PHONE NO 08033431176
OCCUPATION MARKETING COMMUNICATION.
NAME OF COMPANY & ADDRESSBEYOND360 MARKETING COMMUNICATIONS LTD
PHONE NO.
EMPLOYER
NAME
CENTRESPREADFCB..
ADDRESS 3 SAWYER CRESCENT, ANTHONY, LAGOS .
PHONE NO
POSITIONDIRECTOR OF STRATEGY AND MEDIA ..
ANNUAL INCOME (tick appropriately)

500,000 1,000,000

1,000,000 2,000,000

3,000,000 5,000,000

5,000,000 and above


OTHER INFORMATION
STATE OF ORIGIN LAGOS
NO OF INTENDED OCCUPANTS THREE
NO. OF VEHICLE (S) THREE
PRESENT ADDRESS 21/23 BALOGUN STR. OFF AGO PALACE WAY, OKOTA, ISOLO
REASONS FOR LEAVING CHANGE OF ENVIRONMENT AND NEARNESS TO WORK.....................
PRESENT LANDLORDS PARTICULARS
NAME AKEEB ORIYOMI MARTYNS
ADDRESS 21/23 BALOGUN STR. OFF AGO PALACE WAY, OKOTA, ISOLO

PHONE 08030492767
OCCUPATION (IF BUSINESS, SPECIFY) SAME AS ABOVE
GUARANTOR
I/we hereby guarantee the applicant compliance with financial obligations. I/We understand that
I/we may be liable for any unpaid rent, damage and repair assessments and agree to comply with
and uphold all the terms of the contract.
NAME PASTOR BISI AFOLABI-BROWN.
ADDRESS NO. 3, OYELOWO STREET, OFF OKANLAWON AJAYI STREET, SURULERE, LAGOS.
PHONE 07031970801...
OCCUPATION (IF BUSINESS, SPECIFY) MISSIONARY.
RELATIONSHIP..
ACKNOWLEDGEMENT
I/We hereby make application to rent the property located at NO. 6, BOLA SHODIPE STREET,
SURULERE, LAGOSfor N1,000,000.00per annum. I/we hereby certify that the above
information is true and correct to the best of my/our knowledge. I/we understand that any false
information supplied on this form may cause disapproval of the application. I/we understand that
this application shall not constitute a contract to rent the aforementioned property. I/we herby give
permission to employers and other agencies to provide information concerning employment,
income, rental & bill paying histories e.t.c. which might influence the approval of this application.

Signature

DateFriday, August 10, 2012

OFFICE USE ONLY


OFFICER-IN-CHARGE
COMMENTS
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NAME................................................... SIGNATURE

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