Home
States
Locations
Data Groups
Indicators
Indicator Mapping
Origination Form Data
NATIONAL REAL ESTATE DATA COLLECTION & MANAGEMENT PROGRAMME(NRE-DCMP)
OFF-TAKERS QUESTIONNAIRE
Personal Information
Current Address
Employment Information
Mortgage Property
PERSONAL INFORMATION
SALUTATION
Mr
Mrs
Miss
Dr
Prof
Chief
Alhaji
Mallam
LAST NAME *
FIRST NAME *
MIDDLE NAME
EMAIL
PHONE NUMBER
DATE_OF_BIRTH
SEX
MALE
FEMALE
NO OF DEPENDENTS
* required fields
CURRENT ADDRESS
STATE
LGA
LOCATION_OR_AREA
STREET_NAME
DURATION AT RESIDENCE (yrs)
HOUSE NUMBER
OWNERSHIP TYPE *
Rent
Owner
Live with family / friends
RENT AMOUNT/YEAR (Naira)
Property Value (Naira)
25%
* required
EMPLOYMENT INFORMATION
OCCUPATION *
NAME OF EMPLOYER *
EMPLOYMENT SECTOR *
Government
Private
Public-Private Partnership
Others
DESIGNATION
EMPLOYMENT STATUS *
Full Time
Part Time
Contract
Self Employed
MONTHLY INCOME / SALARY
SECONDARY/OTHER INCOME
Income from Spouse
Investment/Business
Foreign Remittance
SECONDARY INCOME (Amount)
EMPLOYER'S ADDRESS
STREET NAME
LOCATION / AREA
OFFICE ADDRESS NUMBER
50%
* required fields
MORTGAGE PROPERTY
STATE
LGA
PROPERTY_LOCATION_OR_AREA
TYPE_OF_BUYER
First Time Buyer
Existing Buyer
PROPERTY_TYPE
(SCA) - Standard Self-Contained Apartment
(3DB) - Standard Three-Bedroom Detached Bungalow
(2BF) - Standard Two-Bedroom Block of Flats
(5DD) - Standard Five-Bedroom Detached Duplex
(TDA) - Standard Terrace Duplex Apartment
(1BR) - Standard One Bedroom Apartment
(2SDB) - Standard Two- Bedroom Semi-Detached Bungalow
(3BF) - Standard Three-Bedroom Block of Flats
(4SDD) - Standard Four- Bedroom Semi-Detached Duplex
MORTGAGE PROPERTY AMOUNT(Naira)
75%
* required fields
Next
Previous
