Application Form For Public Rental Housing (Page 2 of 4) in pdf

Part 3

Income & Net Asset Value

(including assets in and outside Hong Kong)

(in Hong Kong dollars)

Family

Applicant

Member

Name

Average Monthly Income

(A)

(B)

(C)

(D)

(E)

(Please refer to Item 4.4.1 of Application Guide)

Total Monthly Household Income = (A)+(B)+(C)+(D)+(E) = $_____________________

(1) Land

(2) Landed Properties

(including domestic properties, shops,

parking spaces, etc.)

(3) Vehicles

(4) Taxi/Public Light Bus Licences

(5) Investments

(including saving

insurance policies, funds, shares, etc.)

(6) Business undertakings

(whether with business registration or not)

(7a) Deposits

(including savings, current

and fixed deposits, Hong Kong and

foreign currencies, etc.) – must declare

the actual amount of all deposits as at the

date immediately before the date of

declaration

(7b) Cash in hand

(including Hong Kong

and foreign currencies, etc.)

(7c) Loan to others –

must declare all

outstanding loans to others on the date of

declaration in both local and foreign

currencies

Personal Total Net Asset Value (1) – (7)

(A)

(B)

(C)

(D)

(E)

(Please refer to Item 4.4.2 of Application Guide)

Total Net Asset Value of the Household = (A)+(B)+(C)+(D)+(E) = $______________

Part 4

Priority Schemes

(Please refer to Items 2.4 to 2.6 of Application Guide)

Choose only one applicable Scheme and put a “” in the box:

Single Elderly Persons Priority Scheme (SEPS)

(Applicant must be 58 years of age or above and must have attained the age of 60 at the time of flat allocation;

option for “Urban” district is allowed in Part 5)

Elderly Persons Priority Scheme (EPS)

(Applicant and all members must be 58 years of age or above and must have attained the age of 60 at the time

of flat allocation; option for “Urban” district is allowed in Part 5)

Harmonious Families Priority Scheme (HFPS)

Applicant opts to live together with the elderly in one unit.(Option for “Urban” district is allowed in Part 5)

The two families (one nuclear family and one elderly family) opt to live separately in two units located in the

same District Council district, and submit two separate application forms.

(Option for “Urban” District in Part 5 is not allowed)

Please provide the information of another application joining HFPS:

Name of applicant of that application form:

H.K.I.C. No.:

(

)

Application No. (if a blue acknowledgement card has been issued): G/U

HD300E (Rev 2/2015)

(Please go on next page)

Page 2 of 4

Application Form For Public Rental Housing Page 2

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