Archdiocese of San Fernando

SOCIAL ACTION CENTER OF PAMPANGA

Maimpis, City of San Fernando, Pampanga
Philippines

SACOP BENEDICT XVI HOUSING PROGRAM

CHECKLIST OF REQUIREMENTS

1. Properly accomplished housing application with recent (1) 2x2 photo of applicants (couples)
2. Barangay certificate/clearance (place of origin)
3. Police Clearance
4. Proof of residency (electric bills, telephone bills, etc.)
5. Valid certificate of employment with latest pay slips 6 months (for employee)
6. NBI/passport (if working abroad)
7. Proof of remittance (6 months if working abroad)
8. Employer’s contract
9. Marriage contract with registered number
10. Birth Certificate for single
11. Income tax return
12. Processing fee of 1, 100.00
13. Sketch of residence
14. Endorsement from the Parish Priest
 Archdiocese of San Fernando
SOCIAL ACTION CENTER OF PAMPANGA
Maimpis, City of San Fernando, Pampanga
Philippines

SACOP BENEDICT XVI HOMES HOUSING PROGRAM

APPLICATION FORM

I. IDENTIFYING INFORMATION
Name of Applicant_______________________________________________________________
Date of birth_______________________ Birthplace ___________________________________
Age________________ Religion_____________ Educational Attainment__________________
Contact number_______________________ Civil Status ( ) Single ( ) Married ( ) Widow/er
Sex ( ) Male ( ) Female
Present Address_________________________________________ Status of stay ___________
Ownership of house & lot : _______________________________________________________
Employment_____________________________ Status of stay __________________________
Position_________________________________ Salary________________________________
Address_______________________________________________________________________
If self employed/with business:
Type of Business (Pls. specify)_____________________________________________________
_____________________________________________________

Status of Business ( ) Old ( ) New Capitalization Initial__________ Present______________

Name of Spouse______________________________________________ Age______________
Address_______________________________________________________________________
Employment__________________________________ Status___________________________
Position___________________________________ Income/salary________________________
Address_______________________________________________________________________
If self employed/with business:
Type of Business (pls. specify)__________________________________________
Other source of income: Type_______________________ Income____________

II. HOUSEHOLD MEMBERS INFORMATION

NAME AGE SEX RELATIONSHIP TO CIVIL EDUCATIONAL EMPLOYMENT/INCOME

APPLICANT STATUS ATTAINMENT
III. HOUSEHOLD EXPENSES

PARTICULARS PER MONTH PER DAY

Food
Transportation
Electricity
Gas
Tuition Fee
School supplies
Medicines
Others: (pls. specify)

Total

IV. TYPE OF CALAMITY THAT AFFECTED THE FAMILY

( ) lahar ( ) flood ( ) others, pls. specify ____________________________________________

Address ______________________________________________________________________

V. LOT PREFERENCE
#1 _______________________
#2 _______________________
#3__________________________________

Payment scheme ( ) package 1 5% downpayment

( ) package 2 10% downpayment
( ) package 3 15% downpayment
( ) package 4 25% downpayment
( ) package 5 50% downpayment

__________________________________________ ___________________________________________
Name and Signature of Applicant Name and Signature of Interviewer
Date Applied: _________________ Date: ________________________

VI. REMARKS

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