Application form for the acquisition of a house or a serviced plot of land

I. Civil status of the applicant

II. Marital status of the spouse

III. Monthly income

IV. Product requested

6. You wish to have access to the housing/parcel within a time limit :

7. You wish to acquire a house or a serviced plot of land located in :

V. Documents to be provided

Persons financing the purchase of the home or parcel by certified check,bank transfer or cash will only be required to provide a copy of their identification.

APPLICATION FEE : 70 000 CFA FRANCS

To be paid by the applicant for the constitution of the file, which will be examined and rated by the technical committee in charge of the selection of the files. Payments can only be made by cash or certified cheques.

ANY INCOMPLETE FILE WILL BE REJECTED

IMPORTANT RECOMMENDATIONS

  1. FILL IN AS MUCH INFORMATION AS POSSIBLE AND WITH SINCERITY.

Please verify your information before submitting the form. Click on Send to validate or on Cancel to go back.

I. Civil status of the applicant

Name:

First name:

Genre:

Follow your request:

Date of birth:

Lieu de naissance :Place of birth

Nationality:

Family status:

Identity card number:

Nature of the identity card:

Issued on:

Issued by:

Expiry date:

Number of dependents:

Address:

City:

Office phone:

Home phone number:

Email:

II. Marital status of the spouse

Name:

First name:

Maiden name:

Date of birth:

Place of birth:

Nationality:

III. Monthly income

Job held:

Employer:

Applicant Income:

Spousal income:

Type of contract:

IV. Product requested

IV. Product requested:

Type of housing:

Serviced plot of land requested:

Surface area of the parcel:

Type of funding:

Time to access housing:

Location of the accommodation:

Other Location:

Pay

obligatoire1 * obligatoire2

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