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Boarding House Form

This document contains personal information and payment details for an individual. It includes their name, date entered, address, contact number, emergency contact details, and a table to record monthly payments over a 12 month period with spaces to note the amount paid and any remarks. The individual's signature is also included at the bottom to authorize the monthly payments.

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bokbokreonal
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© Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online on Scribd
96 views

Boarding House Form

This document contains personal information and payment details for an individual. It includes their name, date entered, address, contact number, emergency contact details, and a table to record monthly payments over a 12 month period with spaces to note the amount paid and any remarks. The individual's signature is also included at the bottom to authorize the monthly payments.

Uploaded by

bokbokreonal
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NAME:

( Last Name )

( First Name )

Date Entered:

( M. I )
(DD/MM/YY)

Address: _______________________________________________________________
_______________________________________________________________

CP NO.

Cash Deposit:

Person to contact in Case of Emergency ******************************************


NAME:
( Last Name )

( First Name )

( M. I )

CP NO.
/
*****************************************************************************************

MONTHLY PAYMENT
Month
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Amount

Remark

Signature

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