# New Client & Plot Purchase

Complete client biodata and plot assignment in one form

## A. Personal Information

Surname *
First Name *
Other Name
Full Name (Auto-Generated)
Gender
Date of Birth
Marital Status
Nationality
State of Origin
LGA

## B. Contact Information

Residential Address
Phone Number *
Alternate Phone
Email Address

## C. Next of Kin / Emergency Contact

Full Name
Relationship
Phone Number
Address

## D. Plot Purchase & Payment Plan

Area *
Plot (Available Only) *
Price (₦)

Apply Discount (Optional)

Discount Code

Discount Amount (₦)
Final Price (₦)
Payment Mode *
Installment Duration (months)
Monthly Amount (₦)

## E. Registration Date

Registration Date *

Default is today. You may backdate if needed.