Services

Title TitleMrMrsMsMissDrEngrBarrProf

First Name

Last Name

Mobile Number

WhatsApp Number

Email Address

Position

Name of Employer

Employer's Address

Business Address Street

Business Address City

Business Address State Business Address StateAbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara

Occupation

Next of Kin Name

Next of Kin Relationship

Next of kin Mobile Number

Next of Kin Email

Status (e.g. landlord, tenant, mediator, lawyer, real estate agent, etc

Will you also be able to render your services online? Will you also be able to render your services online?YesNo

Are you a landlord or tenant Are you a landlord or tenantYesNo

First Name

Last Name

Email

Mobile Number

Complaint