Realtors' Form – Conic Homes and Properties Ltd

CONIC HOMES & PROPERTIES – REALTOR REGISTRATION

Please ensure you have read and understood our Realtors' TERMS AND CONDITIONS before filling the realtors' form.
Kindly fill in accurate details. All fields marked * are required.

Personal Information

Full Name *

Title

Residential Address *

Date of Birth *

Gender *

Marital Status *

Nationality *

Occupation *

Mobile Number *

Mobile Number 2

Email Address *

State of Origin *

Passport Photograph *

Next of Kin Details

Name *

Phone Number *

Address *

Email Address (Optional)

Relationship with Next of Kin *

Bank & Login Details

Account Name *

Account Number *

Bank Name *

Username *

Password 👁

❌ Minimum 6 characters

❌ At least one letter

❌ At least one number

Realtors' Registeration Fee: ₦25,000
I agree to the Terms and Conditions and confirm that all information provided is true and accurate. I understand that false information may lead to termination of my application with Conic Homes and Properties.

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CONIC HOMES & PROPERTIES – REALTOR REGISTRATION

Personal Information

Next of Kin Details

Bank & Login Details