IAIARNING:.Prorriding false information to Government is an offgnce under the False lnformation Act 2016.

lf you
are found guilty of [roviding false information to Government, you may be fined u'p to'$2O,OOO or Sentenced to
imprisonment for up to {0 years.
AppLtcATloN FoRM FOR FTRST HOME PURGHASE PROGRAMME ('.PROGRAMME',)

Application Date:

The Manager
(Branch Name)

Dear Sir/Madam
-
RequeSt for Loan Application under First Home Purchase Proqramme
With reference to my/our request for the Home Loan of $ (amount in figures) for the
purchase of the property at (location of the property) having a total
purchase price/construction cost of $ l/we wish to apply for the following
assistance (select as applicable):

E Gateqorv 1: Household with a combined tr Gateqorv2: Household with a combined

annual income of $50,000 or below annual income between $50,001 to
$100,000

n $10,000 grant for the purchase of a house n $5,000 grant for the purchase of a house

n $15,000 grant for the construction of a n $10,OOO grant for the construction of
house house

I interest rate subsidy of 1o/o for a maximum

of three years if the interest rate is less
than 5% through the utilisation of funds
borrowed from the Reserve Bank of Fiji

Declaration
1. lAffe declare l/we wish to apply for assistance under the Programme and that"
i.rgj+.4!nj$$rdr*qiisi#rnt$s{tr*!};!i*ili}k@r.84Y-ttB.i{*estutstsi;$issf*ii:*r+$iiidrF+:}i!$r4-dsi{#f-}}B{tet4tsrsi*f+**lf*nf}*,5i84i :a ":1 -r:;!*r4{{i::1.itjri +i r:::i:-}aa ?i-t

(i) l/we am/are Fijian citizen(s) residing in Fiji and amlare over 18 years of age;

(ii) lAive intend to utilise the grant from the Programme towards my/our margin contribution for the
proposed residential first home purchase loan of $

(iii) l/we are buying/building mylour first residential home in Fiji;

(iv) my/our total annual household income is $ for the financial year

(v) lA/Ve will not apply for and have not applied for a grant under the First Land Purchase programme
or any other Government housing grant scheme; and
 (vi) any other terms and eonditions of the Programme will be duly accepted by melus.

2. IA//e authorise your':organisation to forward copies of relevant documents and/or other necessary
information to the Ministry of Housing and Community Development for verification in respect of
my/our proposed first home loan for the purchase of a readily built house/ unit or for construction of a
residential house/unit (as applicable) at
(location of the property).

Furthermore, if this application is declined for any reason, lA//e undertake to provide the margin

-true
4. lA//e declare the above n is aiid "Coriect [o the of my/our knowledge l/we
indemnify your organisation against any liability or losses that may arise resulting from this application.

Yours faithfully

Name of Applicant 1: Name of Applicant 2:

Signature of Applicant 1: Signature of Applicant 2:

Current Residential Address: Current Residential Address:

PostalAddress: PostalAddress:

Telephone / Mobile Contact: Telephone / Mobile Contact:

E-mailAddress: E-mailAddress:

Witnessed by:
Officer's Name
LISLQEDQGIIMENTS TO BE SUBMITTED WIT
aEPtlgArlputgEs
Officer's Signature: 1. Declaration of income and salary slip(s) (if applicable)
2" Birth certificate(s)
3. Certified copy of photo identification
4. Marriage certificate (if applicable)
Head Office / Branch / Location:
5. Title Search Note from Registrar of Titles
6. Loan Officer letter from the financial institution
7. Taxpayerridentification number letter
L FNPF number
9. Valuation report
Date:

Official Stamp.