PNP Es Housing Form

PNP ENGINEERING SERVICE
APPLICATION PROCESS & CHECKLIST OF REQUIREMENTS

FOR PNP HOUSING PROGRAM OF NHA
1. SUBMIT DULY FILLED UP AND NOTARIZED APPLICATION FORMS TO PNP-ES.

2. DULY FILLED UP AND NOTARIZED APPLICATION FORMS WILL BE FORWARDED TO NHA FOR
PRE-QUALIFICATION.
3. PRE-QUALIFIED APPLICANTS SHALL SUBMIT THE FOLLOWING REQUIREMENTS IN AN
ORDINARY LONG FOLDER WITH TABBINGS:
A. SWORN APPLICATION FORM ( TO BE PROVIDED BY ES) Tab “A”
B. PROOF OF INCOME (ANY OF THE FOLLOWING) Tab “B”

Employer’s Certificate of Compensation Issued by Finance Service (original)
BIR-Certified Latest Income Tax Return (original to be presented and photocopy)
C. PROOF OF IDENTITY/CIVIL STATUS Tab “C”

For Single Applicants
Birth Certificate-Civil Registry or NSO (certified copy and photocopy)
PNP ID (original to be presented and photocopy back to back)
For Married Applicants

Birth Certificate-Civil Registry or NSO (certified copy and photocopy)
Marriage Certificate
PNP ID (original to be presented and photocopy back to back)
Affidavit of Separation-In-Fact -for applicants not legally separated/annulled-(original)
D. CERTIFICATE OF DUTY STATUS (ORIGINAL) TAB “D”
E. TWO (2) CONSECUTIVE LATEST PAY SLIP TAB “E”

(ORIGINAL TO BE PRESENTED & XEROX COPY)
F. LATEST SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH TAB “F”

(ORIGINAL TO BE PRESENTED & XEROX COPY)
1piece 2x2 id picture
Photocopy of cedula
Authority to deduct
Name of Applicant: __________________________________________________________________________________

Rank Last Name First Name Middle Name
Unit Assignment: ____________________________________________________________________________________
Contact Number: ____________________________________________________________________________________
Specific Project Location: ______________________________________________________________________________
----------------------------------------------------- (cut here) -------------------------------------------------------------

Acknowledgement Receipt
Name of Applicant: __________________________________________________________________________________
Rank Last Name First Name Middle Name
Unit Assignment: ____________________________________________________________________________________
Contact Number: ____________________________________________________________________________________
Specific Project Location: ______________________________________________________________________________
Received by: ______________________________________

Date Received: ____________________________________
Visit us at: www.es.pnp.gov.ph
Call us at: 723-04-01 Loc 5400
Office of the President
NATIONAL HOUSING AUTHORITY
Northern & Central Luzon Office, Elliptical Road, Diliman, Quezon City
THE GENERAL MANAGER Date:________________________

NHA, Diliman, Quezon City
SIR:
In accordance with NHA rules and regulations and provisions of RA 7279 which I and my family agree to comply with faithfully, I am hereby
applying to purchase/rent:
House and Lot Unit: Lot ______ Block ______ Phase ______, ____________________________________ Project
A. APPLICANT’S IDENTITY: (For female applicant maiden name only)

NAME:________________________________________________________________________________________
(Rank) (First Name) (Middle Name) (Last Name)
Residential Address: _____________________________________________________________________________
Comm. Tax Cert.: _______________ Issued On:_______________ Issued At: ____________________________
Place & Date of Birth:___________________________________ _________________ Citizenship:______________ Badge No.:
_______________ Contact No.: ___________________ Email Address: __________________________
Office/Unit Assignment:__________________________________
Name of Spouse (For wife, give complete maiden name):
___________________________________________________________________________________________
(First Name) (Middle Name) (Last Name)
Place & Date of Birth of Spouse:___________________________________ __________________
B. APPLICANT’S FAMILY COMPOSITION:

NAME RELATION TO APPLICANT CIVIL STATUS AGE
________________________________ _________________________ ______________ _______
________________________________ _________________________ ______________ _______
________________________________ _________________________ ______________ _______
C. APPLICANT’S TOTAL FAMILY INCOME PER MONTH: Php _____________________
D. FAMILY REAL PROPERTY HOLDINGS: I and my wife,

( ) Do not own nor under contract to buy any lot/dwelling unit in the Philippines
( ) Own or under contract to buy the following lots/dwelling units as follows;
_________________________: Urban Residential Total Area (sq. m.) ____________________
_________________________: Commercial & Industrial Total Market Value P __________________
E. I and my family have never availed of any government housing assistance/accommodation, nor violated Section
14 of RA 7279.
F. That I am not a professional squatter nor a member of squatting syndicate.
I hereby certify that I am making this application for the sole purpose of acquiring a homelot for my family and not as DUMMY or AGENT of any
other party.
Any false statement given by me hereinabove shall be sufficient cause for the CANCELLATION of the award and contract that maybe executed
by NHA in my favor as a result of this application and the forfeiture of all payments that may have been made therefore without prejudice to any
administrative criminal or civil action, that maybe brought by the NHA against me in accordance with existing laws.
______________________________________ ________________________________________
(Signature of Spouse) (Signature of Applicant)
SUBSCRIBED AND SWORN to before me in ___________________________, Philippines, this _____ day of _____________, 20___,
AFFIANT, having exhibited to me his/her Community Tax Certificate as stated above.
Doc. No.: __________________ NOTARY PUBLIC

Page No.: __________________
Book No.: __________________
Series of 20________
AUTHORITY TO DEDUCT
In view of my housing loan with the NATIONAL HOUSING AUTHORITY (NHA), in the amount of
_________________________________________, (P________). I hereby authorize my employer,
PHILIPPINE NATIONAL POLICE (PNP), to deduct from my monthly salaries/wages, allowances the
amount of __________________________________________, (P_________), representing the monthly
amortization beginning ______________________, and remit the same to the NATIONAL HOUSING
AUTHORITY (NHA).
It is understood that the authority shall continue to be in effect for as long as I am employed
with the PHILIPPINE NATIONAL POLICE (PNP).
In the meantime that my amortization is not remitted yet to the NATIONAL HOUSINGAUTHORITY
(NHA), I will be paying the first monthly amortization directly to the NATIONAL HOUSING AUTHORITY
(NHA) to avoid penalty charges.
√_________________________________
BORROWER
(Signature overPrinted Name)
√_________________________________
CONFORME: (Address of Employee)
√_________________________________
(Contact Number)]
√___________________________________
(Commanding Officer)
___________________________________
(Disbursing Officer)

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PNP ENGINEERING SERVICE

APPLICATION PROCESS & CHECKLIST OF REQUIREMENTS

1. SUBMIT DULY FILLED UP AND NOTARIZED APPLICATION FORMS TO PNP-ES.

A. SWORN APPLICATION FORM ( TO BE PROVIDED BY ES) Tab “A”

B. PROOF OF INCOME (ANY OF THE FOLLOWING) Tab “B”

C. PROOF OF IDENTITY/CIVIL STATUS Tab “C”

For Married Applicants

D. CERTIFICATE OF DUTY STATUS (ORIGINAL) TAB “D”

E. TWO (2) CONSECUTIVE LATEST PAY SLIP TAB “E”

F. LATEST SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH TAB “F”

Name of Applicant: __________________________________________________________________________________

----------------------------------------------------- (cut here) -------------------------------------------------------------

Received by: ______________________________________

THE GENERAL MANAGER Date:________________________

A. APPLICANT’S IDENTITY: (For female applicant maiden name only)

B. APPLICANT’S FAMILY COMPOSITION:

C. APPLICANT’S TOTAL FAMILY INCOME PER MONTH: Php _____________________

D. FAMILY REAL PROPERTY HOLDINGS: I and my wife,

F. That I am not a professional squatter nor a member of squatting syndicate.

Doc. No.: __________________ NOTARY PUBLIC

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