NHA - Application Form GEHP Revised
NHA - Application Form GEHP Revised
Date of Application
Sir:/Madame:
In accordance with NHA rules and regulations which I and my family agree to comply with faithfully, I hereby
apply: (please check)
A.1. FOR PURCHASE OF HOUSE AND LOT PACKAGE under the GEHP thru
Cash Sale End-User Financing (MTO-Pag-IBIG)
NAME: ____________________________________________________________________________________
(Last) (First) (Middle) (Mother's Surname)
Residence/Address: __________________________________________________________________________
Date of Birth:______________ Place of Birth _______ Civil Status___________ Citizenship: _______________
Contact Numbers (Residence) _______________________________ Office _____________________________
TIN No. _______________________________ GSIS/SSS/Pag-IBIG Policy No. ___________________________
Name of Spouse:____________________________________________________________________________
(Last) (First) (Middle) (Mother's surname)
Date of Birth__________________________________ Place of Birth_________________________________
Rank: _____________________
Position:__________________________
Salary Grade:______________________
Date Hired:________________________________
No. of years in the Government: ____________________
Have never availed of any form of government housing assistance, nor violated Section 14 of RA 7279 ( YES/ NO)
VI. CERTIFICATIONS
I/We certify that the foregoing information/statement is to my/our knowledge, true, correct, complete, and
updated. The signature/s appearing above my/our name/names below is/are genuine.
I/We authorize National Housing Authority (NHA) or its duly authorized representative to verify necessary
information or data (i.e. certificate of employment, pay slips and income tax return) with the concerned government
agencies or third parties including banks and other financial institutions from whom NHA had obtained information.
I/We hereby agrees that any misrepresentation of a material fact is a ground for disapproval of the
application, cancellation of the loan, and shall be a cause for the total outstanding obligation to be due and
demandable and shall be subject to other sanctions provided in existing NHA guidelines. I/We agree to notify NHA
of any material change affecting the information contained herein. I/We agree that all information obtained by NHA)
shall remain its property whether or not the loan is granted.
I/We further agree to be bounded by the current and general policies of NHA and those that the NHA may
adopt in the future, that may have relation to or in any way affect my/our loan.
I/We understand that the processing/service/filing fee, notarial and all other incidental fees pertaining to
the registration of mortgage on property shall be for my/our account.
___________________________________________ ___________________________________________
SIGNATURE OVER PRINTED NAME OF BORROWER SIGNATURE OVER PRINTED NAME OF
SPOUSE
__________________________ __________________________
DATE DATE
Note: Please provide complete information and write legibly in PRINT /BLOCK LETTERS