CRF01

CHARGE RELEASE FORM

Please complete this form if you are applying for Release of Charge on your property. Complete the form in pen using BLOCK letters
and ensure that the form is complete before submission.
Note: It is an offence under the Fiji National Provident Fund Decree No. 52, 2011 to make any false statement or to produce any false
document. Please sign against amendments made and usage of correction fluid/tape is not allowed.
Refer to the explanatory notes on page 3 when completing this form.

SECTION A - PERSONAL DETAILS

Details of First Applicant
1. Surname: First Name:

2. Other Name:

(As appears on the Birth Certificate)

3. FNPF or Tin Number: 4. Date of Birth(DD/MM/YY): / /

5. Correspondence (Residential/Postal Address):

6. Telephone Contact: Landline/ Mobile: 7. Email Address:

Specify Type of Housing Assistance: Please Tick

8. Fully Financed by FNPF 9. Partly Financed:

(Print Name of Lender in Case of Partly Financed)

10. Signature of Member: 11. Date: / /

Details of Second Applicant

1. Surname: First Name:

2. Other Name:

(As appears on the Birth Certificate)

3. FNPF or Tin Number: 4. Date of Birth(DD/MM/YY): / /

5. Correspondence (Residential/Postal Address):

6. Telephone Contact: Landline/ Mobile: 7. Email Address:

Specify Type of Housing Assistance: Please Tick

8. Fully Financed by FNPF 9. Partly Financed:

(Print Name of Lender in Case of Partly Financed)

10. Signature of Member: 11. Date: / /

SECTION B - Details of Administrator/Executor of the Property applying

for Discharge (Applicable for DECEASED MEMBERS)
1. Surname: First Name:

Other Name:

(As appears on the Birth Certificate)

1
2. Correspondence (Residential/Postal Address):

3. Telephone contact: Landline/ Mobile: 4. Date of Birth: / /

5. Probate / Letters of Administration No.:

6. Signature of Administrator/ Executor: 7. Date: / /

SECTION C - Property Details

Land Type (Please Tick): CT NL/ITLTB HA MCL Fiji Lease AFL Others

Lease Type (Please Tick): Agricultural Residential

Title/Lease No. Lot No: DP/ SO/ NLC No:

SECTION D - Solicitors or Lenders Details

Name of Firm / Lender: Name of Officer:

Telephone No. Email Address:

Date of Request: / / Signature of the Officer:

Company Stamp:
Date: / /

SECTION E - REPAYMENT OPTION

Do you wish to repay the amount you were assisted under the FNPF Housing Assistance Scheme?

Please tick. Yes No

If Yes, then please specify mode of payment:

(Only applicable to Active members)

If you wish to note any further comments:

SECTION F - Declaration by the applicant

I understand and agree that:
(a) I have read, understood and answered all the questions and the particulars provided by me are true and correct.
(b) I hereby indemnify the FNPF Board from any liability whatsoever, including any loss of benefits that may arise as a consequence of
processing my Application.

First Applicant Second Applicant

Signature of Member (As in FNPF Records) Signature of Member (As in FNPF Records)

Date: Date:

Signature of Witness: Signature of Witness:

Name and address Name and address

Members Left Thumbprint Members Left Thumbprint
of Witness: of Witness:

2
 For Official Use Only

Receiving Officer (Name): Date: / /

Signature: Application#:

Receipt # Date: / /

Discharge Recommended/ Queried: Comments

Approving Officer (Name): Signature: _________________Date: / /

EXPLANATORY NOTES:
Who needs to complete this form?
This form will need to be completed by the legal owner/administrator/ Copies of titles must be certified by Registrar of Titles
executor of the property who were assisted under the FNPF Housing
Assistance Scheme. Where can I lodge my application?
You can lodge your application at any of our FNPF office nearest
What documents will I need to submit with this application? to you.
• Discharge Form duly completed
• Certified True copy of Title obtained from Registrar of Titles office IMPORTANT NOTE:
(this should not be more than 1 month old) or a copy of Agreement 1) Titles will not be released to Third parties except for genuine
for Lease or Approval Notice from ITLTB or Director of Lands cases. Conditions apply.
• Copy of FNPF Charge (s) from the Registrar of Titles office currently 2) Authority from member(s) must be enclosed with the application
registered on the property. submitted by Lenders or Solicitors for Release of charge/
• A certified True Copy of Probate (if member is deceased) discharge of Title.
• A valid photocopy ID of the member or Administrator / Executor of
members Estate (if the member is deceased)
• Copy of Receipt for $60 processing fee.

Head Office Lautoka Labasa Valelevu Agency Nadi Agency Savusavu Agency Ba Agency
Provident Plaza 2 Shop 5, Naviti Street Rosawa Street Valelevu Complex Building Shop 2 Lalidhar Arcade Budget Lodge Building Ltd Ganga Singh Street, Ba
Private Mail Bag, Suva Private Mail Bag, Lautoka Private Mail Bag,Labasa Saqa Place, Valelevu Namaka Lane, Nadi Main Street, Savusavu Telephone: (679) 667 0003
Telephone: (679) 330 7811 Telephone: (679) 666 1888 Telephone: (679) 881 2111 Telephone: (679) 3343 671 Telephone: (679) 672 8981 Telephone: (679) 885 3396
Facsimile: (679) 330 7611 Facsimile: (679) 666 5232 Facsimile: (679) 881 2741 Facsimile: (679) 3343 670 Facsimile: (679) 672 8982 Facsimile: (679) 885 3397

Email: information@fnpf.com.fj Website:www.myfnpf.com.fj