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NHA Application Form 1

This document is a housing application submitted to the National Housing Authority. The applicant provides their identity details, including name, address, birthplace, and contact information. They also list their family composition and total monthly income. The applicant declares that they and their family do not own other property in the Philippines. They certify that they have never received other government housing assistance and are not a professional squatter. The applicant and their spouse sign the application, swearing its contents are true.

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884 views1 page

NHA Application Form 1

This document is a housing application submitted to the National Housing Authority. The applicant provides their identity details, including name, address, birthplace, and contact information. They also list their family composition and total monthly income. The applicant declares that they and their family do not own other property in the Philippines. They certify that they have never received other government housing assistance and are not a professional squatter. The applicant and their spouse sign the application, swearing its contents are true.

Uploaded by

TindusNiobeto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Office of the President

NATIONAL HOUSING AUTHORITY


Northern & Central Luzon Office, Elliptical Road, Diliman, Quezon City

THE GENERAL MANAGER Date:________________________


NHA, Diliman, Quezon City

SIR:
In accordance with NHA rules and regulations and provisions of RA 7279 which I and my family agree to comply with
faithfully, I am hereby applying to purchase/rent:

Residential Lot Only: ( ) Social ( ) Economic Lot; Described as


Lot ______ Block ______ Phase ______, ____________________________________ Project
House and Lot Unit: Lot ______ Block ______ Phase ______, ____________________________________ Project
Dwelling/Condominium Unit: Bldg. ______ Unit ______, ____________________________________ Project
Mode of Payment: Cash: ____________ 6-Month Staggered Cash: ____________ Installment: ____________

A. APPLICANT’S IDENTITY: (For female applicant maiden name only)


NAME:________________________________________________________________________________________
(Rank) (First Name) (Middle Name) (Last Name)
Residential Address: _____________________________________________________________________________
Comm. Tax Cert.: _______________ Issued On:_______________ Issued At: ____________________________
Place & Date of Birth:___________________________________ _________________ Citizenship:______________
Badge No.: _______________ Contact No.: ___________________ Email Address: __________________________
Office/Unit Assignment:___________________________________________________________________________
Name of Spouse (For wife, give complete maiden name):
___________________________________________________________________________________________
(First Name) (Middle Name) (Last Name)

Place & Date of Birth of Spouse: ____________________________________ _________________

B. APPLICANT’S FAMILY COMPOSITION:


NAME RELATION TO APPLICANT CIVIL STATUS AGE
________________________________ _________________________ ______________ _______
________________________________ _________________________ ______________ _______
________________________________ _________________________ ______________ _______

C. APPLICANT’S TOTAL FAMILY INCOME PER MONTH: P_____________________

D. FAMILY REAL PROPERTY HOLDINGS: I and my wife,


( ) Do not own nor under contract to buy any lot/dwelling unit in the Philippines
( ) Own or under contract to buy the following lots/dwelling units as follows;
_________________________: Urban Residential Total Area (sq. m.) ____________________
_________________________: Commercial & Industrial Total Market Value P __________________

E. I and my family have never availed of any government housing assistance/accommodation, nor violated Section
14 of RA 7279.

F. That I am not a professional squatter nor a member of squatting syndicate.

I hereby certify that I am making this application for the sole purpose of acquiring a homelot for my family and not as
DUMMY or AGENT of any other party.

Any false statement given by me hereinabove shall be sufficient cause for the CANCELLATION of the award and
contract that maybe executed by NHA in my favor as a result of this application and the forfeiture of all payments that may have
been made therefore without prejudice to any administrative criminal or civil action, that maybe brought by the NHA against me
in accordance with existing laws.

________________________________ ________________________________________
(Signature of Spouse) (Signature of Applicant)

SUBSCRIBED AND SWORN to before me in ___________________________, Philippines, this _____ day of


_____________, 20___, AFFIANT, having exhibited to me his/her Community Tax Certificate as stated above.

Doc. No.: __________________ NOTARY PUBLIC


Page No.: __________________
Book No.: __________________
Series of 20________

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