Agent's Registration Form

Division Head*
Date of Application
Sponsor
Please specify name of recommending Agent.
Personal Data
Photo
Accepted file types: jpg, jpeg, png.
Image should not be more than 2MB in size. Preferably portrait photo.
Name*
First Middle Last
Address
Street Address Address Line 2 City ZIP / Postal Code Country
Contact Numbers*
Email
Gender
- Male
- Female
Status
- Single
- Married
- Widow
- Separated
Birth Date
TIN
Religion
PRC License Number
HLURB Number
Educational Background
Primary
Address
Year Attended
Secondary
Address
Year Attended
College
Address
Year Attended
Employment Record
Company Name
Position
Year
Track Record in Real Estate
Developer / Realty
Estimated Amount (Gross Sales)
Year
Other Details (Optional / For ID)
Nationality
SSS Number
Blood Type
Emergency Contact Name
Emergency Contact Number
*
- I confirm that the information given in this form is true, complete and accurate.
Your application will be reviewed by our representative and you will be notified once your application is approved. Thank you for your interest in being a part of Grey Property and Realty Services.
Comments
This field is for validation purposes and should be left unchanged.

Agent’s Registration Form