@csrf
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Serial No: {{$generatedNumber}}

@if (Session::has('success')) @endif

APDC HOMES

APPLICATION FORM

personal information
Name
Permanent Address Type in your Address please
Occupation
Office/Business
Telephone Number(s)
@if (Session::has('phone-error'))

Error !!! - Phone Number is not exactly 11 digits

@endif
Email
Valid Means of Identification
Next of Kin
Address (Next of kin)
Phone Number
Email
property details
Project

House Type Required
Amount
Preferred Mode of Payment (Strictly to be adhered to)

a ) Installment Payment

  • Discount available for one-off payment
  • Installment payment (Subject to payment options on price list)
Source of Payment
Agent's information
Agent's Name
Agent's TIN Number
Agent's Bank
Agent's Account Name
Agent's Account Number