Application Form


Surname		First Name
Other Names
Date of Birth
Residential Address
Occupation
Company Name
Office Address
Telephone Numbers
Email
Nationality
Next of Kin (Surname)		Other Names
Address (Next of Kin)
Size / No of Plots Required
Type of Houses required	3 Bedroom Apartments Terrace House Semi Detached House Detached House Mega Detached House
Mode of Payment	Full Payment Instalments Mortgag
Reason for purchase	To Occupy For Investment Not Sure Yet
All payments are to be made in bank draft payable in Lagos: Name of Account: Lonerax Nigeria Limited Banks: (i) Union Homes Savings and Loans Limited (ii) Wema Bank Plc