SUBSCRIPTION FORM – 1st Averion Company Limited

1st Averion Company Limited presents

Imole Smart City

Live smart. Invest smart. Grow together.

Ago-Iwoye, Ijebu North, Ogun State

Subscription form

Reserve your place in Imole Smart City

Please complete all required fields accurately. Information submitted will be treated confidentially. Submitting this form without payment of a deposit does not create an obligation between the subscriber and the company.

01 Personal data

Title Surname First name Other name Marital status Maiden name Date of birth Nationality Residential address Mailing address Email address Mobile number Home telephone Passport photograph Optional upload, JPG/PNG/WebP, maximum 3 MB.

02 Next of kin

Full name Relationship Mobile number Address Occupation Email address

03 Current employment details

Employer Designation Employer address Telephone

04 Subscription selection

Payment option *

Outright1 month 3 months 6 months 12 months 18 months

Number of plots Plot size

Plot type *

Commercial plot Residential plot

Estate location: Ago-Iwoye, Ijebu North, Ogun State.
Plot sizes available: 300 sqm, 500 sqm and 1,000 sqm.
Pricing and final payment schedule will be confirmed by the estate team. The source document lists different price schedules for 300 sqm and 500 sqm plots; confirm current rates before payment.

05 Declaration & document pickup

Applicant full name (as declaration) Address (as declaration) Preferred document pickup / delivery instructions

I solemnly and faithfully declare that the information supplied in this application is true and correct to the best of my knowledge.

I confirm the declaration above and understand that submitting this form is not proof of payment or plot allocation. I acknowledge that I have read the payment terms stated below.

i Payment terms from the supplied form

All payments should be made in favour of 1st Averion Company Limited.
The company accepts no liability for cash payments made to any person or group of persons.
Plot allocation is stated to be on a first-come, first-served basis after full payment.
The original subscription form states “No refund of any money paid at any stage of transaction.” The FAQ on pages 4–5 separately describes a refund process with a 30% deduction, subject to resale. Please obtain written clarification from the company before relying on either statement.

This online form records your subscription details; it does not collect payment.

06 For official use only

Leave this section blank. It is for the realtor / estate team.

Realtor's name Realtor's group Realtor's phone number Realtor's email

Your details will be sent to the estate's designated email address for follow-up. Please do not submit bank details or payment card information here.

Imole Smart City

Reserve your place in Imole Smart City

01 Personal data

02 Next of kin

03 Current employment details

04 Subscription selection

05 Declaration & document pickup

i Payment terms from the supplied form

06 For official use only

1st Averion Company Limited.

We are a Real Estate and Property Development Company using modern construction approach in our building projects to deliver the very best to our Clients

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