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PILLAR PROPERTY MANAGEMENT INC.

2-1800 Logan Avenue Telephone: (204) 334-8202


Winnipeg, MB R2R 0H3 Fax: (204) 334-2479
APPLICATION TO RENT www.pillarmanagement.ca
PLEASE NOTE THAT THE TERM OF THE LEASE IS FOR A PERIOD OF NOT LESS THAN ONE (1) YEAR UNLESS OTHERWISE SPECIFIED.
SECURITY DEPOSIT WILL ONLY BE ACCEPTED AS CASH, CERTIFIED CHEQUE, OR MONEY ORDER.

Date Application Submitted: 26/10/2017 Date Premises Required: 1/11/2017

Address of Unit to be Rented: 3 bedroom house on Arnold ave

Applicants Legal Name (Including Middle): Abir Khamis Hassanin

Applicants Preferred Name: Abir Date of Birth: 15/11/1976


Is There a Co-Applicant? Yes No

Co-Applicants name: khaled AHadi Relationship: husband


If there is a Co-Applicant(s) whose 18 years of age or over, they must complete a separate application.

Number of Adults who will occupy the premises: 2 Number of children under 18 years of age: 4

Ages of children: 14,13,8,4 Total Number of Occupants: 6

Do You have Pets? Yes No


Have you applied for Housing? Yes No If so, how long ago?

Telephone Number: 00971 50 4564347 Cell Number: 00971 50 4564347

Email Address: khdhadi1965@gmail.com May we contact you by email? yes

Social Insurance Number:

Drivers License No: 619629 UAE Provincial ID Number:

Are you on Social Assistance? Yes No

If so, please indicate: Case Workers Name:

Case Workers Office Address:

Case Workers Telephone Number:

Case Workers Fax Number:

Case File Number:


Is Social Assistance Providing your Security Deposit? Yes No
Pillar Property Management Application to Rent

Present Landlords Name: Wasl Real Estate Telephone Number: 0097143986666

Applicants Present Address: UAE Dubai muhaisna4th R429 ( 328 )


How long have you lived there? 11 Y Monthly Rent: 4300 AED Reason for Leaving: Immegration

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Previous Landlords Name: Wasl Real Estate Telephone Number: 0097143986666

Applicants Previous Address: Muhaisna ,lulu village

Date of occupancy? 2002 Monthly Rent: 1400 AED Reason for Leaving: upgrading

Presently Employed With: nil Occupation: nil

Employers Contact Name: nil Employers Telephone Number: nil

Length of Employment: nil Average salary or annual income: $ nil________ ____

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Former Employer: nil Occupation: nil

Employers Contact Name: nil Employers Telephone Number: nil

Length of Employment: nil Average salary or annual income: $ ________ ____


nil

Person to contact in case of an emergency: Alaa alsaady

Relationship to emergency contact: Close Friend

Telephone Number of emergency contact: 204 6888822

Personal References: (family, friends, co-worker, etc.)

1. Alaa
_______________________________________________ 2046888822
Telephone Number: _____________________

close friend
Relationship:_____________________________________ Cell Number:___________________________
2046888822

2. Khdaier
________________________________________________Telephone Number: _____________________

Relationship:_____________________________________
friend 2049993080
Cell Number:___________________________

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Pillar Property Management Application to Rent

Credit References: (List bank, credit union, type of accounts, or other credit references):

1. _____________________________________________________________________________________

2. _____________________________________________________________________________________

I hereby authorize Pillar Property Management Inc., or their representatives, to obtain such credit reports and/or other
information as may be deemed necessary in connection with the establishment and maintenance of a credit account or
for any other direct business requirement.

Signature: Abir Khamis Date: 26/10/2017

Witness: Khaled A Hadi Date: 26/10/2017

The applicant declares all above statements to be true and authorizes the Landlord, and its agents, to contact available
references. This information is confidential and will not be released to anyone without the consent of the applicant.

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