REAL ESTATE DEVELOPERS ASSOCIATION OF NIGERIA (REDAN) Logo of partners: REDAN, MBAN, FMBN, World Bank, IFC, Shelter Afrique, NLC, TUC, NMRC www.redanonline.org, E-mail: [email protected], Tel: 09038426596 FORM NS-001 REDAN NATIONAL HOUSING AGENDA 2015 HOME SEEKER QUESTIONAIRE Name (Surname First):………..……………………………………………………..Date of Birth…………………………..Age………………… Sex:……………………………….Marital Status:……….……………………… Present Residential Address:……………………………… …………………………………………..………………………………………………………………………………………………………………………………. Occupation:…………………………………………………………..No. of Years left in Service: ………………………………………………… Address of Place of Work:…………………………………………………………………………………………………………………………………… Are you self employed…………………………………………Year in Service……………………..Rank/Position…………………………. Monthly Income………………………………………………… Other Sources of Income……………………………….……………… GSM No.:………………………………………………….. E-Mail:…………………………………….……………………………………….. Are you contributing to the National Housing Fund? Yes………………………………………No…………………………………. NHF contribution No. ……………………………………………Commencement Date of NHF Contribution…………………………… Indicate other source of Fund(s) to pay for the House outside NHF Scheme……………………………………………………………… S/N Type of House Required Range of Cost of House (=N=Million) Deposit Required 1 1 Bedroom/2 Bedroom =N=1 - =N=5 10% 2 2 Bedroom/3 Bedroom =N=5 - =N=10 20% 3 3 Bedroom/4 Bedroom =N=10 - =N=15 30% Indicate: Amount of Initial Deposit Tick Appropriately Indicate preferred Location (e.g State, Local Govt. etc) where you would want your House Built: State Signature:……………………………………. Local Govt. Area Other Location Date:……………………………………….. NB: If you are a Contributor to the National Housing Fund (FMBN), it is your right to own your home.
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