APPLICATION FORM FOR HOUSING ASSISTANCE FOR FIRE VICTIMS

Total Annual Household Income

Type of tenure

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Bank Account details

I Confirm that

I Attach

* All attachment to be PDF format and one page attachment

* Documents to support income of each household member      above 18 years and attached separately

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Terms and Condition:

I intend to avail the housing assistance towards the repair of my residential property that was destroyed by Fire.

I understand that a false declaration on this form will invalidate my application and may result in further legal action being taken against me.

Contact Us

Address

Tel: +679 330 9918

Email: infohousing@govnet.gov.fj

33, Gorrie St, Suva, Fiji

PO Box 2130, Government Building, Suva, Fiji

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