BERYL ENGINEERING & PROPERTIES LTD.

Tel: 08133468405, 09050909431 | Email: berylengineeringpropertiesltd@gmail.com

Web: www.berylengineeringpropertiesltd.com.ng

Doc. No.:BEP-FRM-003

Version:1.0

Date Completed:

Reviewed On:(office use)

CLIENT INFORMATION & SERVICE REQUEST FORM

CONFIDENTIAL — For use solely between Beryl Engineering & Properties Ltd. and the named client.

CLIENT DETAILS

Client Name

Company Name

Address

Phone

Referral Source

SERVICES REQUIRED (TICK APPLICABLE)

Construction Project Management Site Supervision

Property Management Property Sales Property Purchase

Property Search Quantity Surveying Engineering Consultancy

Other

PROJECT SUMMARY

Brief Project Summary

Estimated Budget

Preferred Start Date

Preferred Communication Method

Call WhatsApp Email

DOCUMENTS ATTACHED

Title Documents Survey Plan Building Plan/Drawings Identification Others

List of Documents Attached

DECLARATION

I confirm that the information provided above is accurate and complete to the best of my knowledge, and I request Beryl Engineering & Properties Ltd. to proceed with the service(s) indicated, subject to a formal engagement and scope of work.

Client Signature

Company Representative

BERYL ENGINEERING & PROPERTIES LTD. | 10 Block 6, Merit Plaza, Opposite Justrite Superstore, Akobo, Ibadan, Oyo State BEP-FRM-003 | Rev 1.0

Fill in the fields above on your phone or computer, then either tap "Email Completed Form to Beryl" to send your responses straight to our office, or tap "Print / Save as PDF" to keep or print a copy. You can also print a blank copy at our office to fill in by hand.