REFERENCE CODE: PROJECT SITE: CAMELLA MANORS VERDANT PROPERTY ADMINISTRATOR: OWNER BIOGRAPHICAL DATA SHEET NOTE 1. Please write legibly and print all needed information with a black ink pen. 2. All information shall be treated confidentially and shall be used for administrative purposes only. DATE RELIGION Last First PRESENT ADDRESS Phase / Bldg CIVIL STATUS BIRTHPLACE COMPANY NAME COMPANY ADDRESS DATE OF BIRTH AGE SEX OCCUPATION POSITION LANDLINE NO. MOBILE NO. Last First COMPANY NAME OCCUPATION RELATIONSHIP FREQUENCY OF STAY FREQUENCY OF STAY HOUSEHOLD NAME MOBILE NO. NATIONALITY CIVIL STATUS Middle POSITION BIRTHPLACE COMPANY ADDRESS DEPENDENTS EMAIL ADDRESS COMPANY CONTACT NO. LANDLINE NO. NAME DATE OF MOVE-IN Lot/ Unit OTHER ADDRESS NAME SPOUSE DATE OF ACCEPTANCE Middle NATIONALITY Block / Floor MOBILE NO. OCCUPATION MOBILE NO. EMPLOYER AGE LIST OF VEHICLES REGISTERED HOMEOWNER NAME DATE OF BIRTH AGE SEX EMAIL ADDRESS COMPANY CONTACT NO. LANDLINE NO. MOBILE NO. LANDLINE NO. MOBILE NO. AGE EMAIL ADDRESS PLATE NUMBER MAKE COLOR CAR STICKER NUMBER CONTACT PERSON IN CASE OF EMERGENCY NAME RELATIONSHIP LANDLINE NO. MOBILE NO. FREQUENCY OF OWNER’S STAY (Please check) Daily Weekly Monthly Occasionally IN WHAT AREA/ ASPECT WOULD YOU LIKE TO BE INVOLVED WITH THE ASSOCIATION? Community Affairs Financial Management Youth Affairs Clean and Green/ Maintenance/ Ecology Legal Aspects Others Peace and Order/ Security Livelihood AUTHORIZED REPRESENTATIVE (For admin forms such as gate pass and other documents) NAME AND SIGNATURE NAME AND SIGNATURE I hereby consent to the collection, use, and disclosure by the Condominium Corporation of all the personal information I have given hereunder for lawful and legal purposes. (Homeowner/ Unit Owner Signature over Printed Name) Revision 02 / Effectivity: 01 October 2015 Original Issue: 01 July 2013 Date Globalland Property Management, Inc