APPLICATION FOR GRANT / REGRANT OF A STATUTORY RIGHT OF OCCUPANCY: Private / Individual

APPLICATION FOR GRANT / REGRANT OF A STATUTORY RIGHT OF OCCUPANCY

Part 1 : Personal Details

Surname:

First Name:

Middle Name:

Date Of Birth:

Date Format: dd/MM/yyyy (e.g. 23/12/1982)

Passport Number (if any):

National ID Card Number (if any):

Marital Status:

Religion:

State Of Origin:

Specify Religion:

Occupation

Nationality:

Highest Educational Level:

Specify Level:

Number Of Children:

Permanent Address:

Town/City:

State:

Country:

Post Code:

e-Mail:

Phone number:

Fax:

Upload Passport Photo Here :



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Declaration:

"it is a punishable offence to provide any false information and or make any false statement or claim when completing this form. Where it is subsequently discovered that a Certificate of Occupancy was issued based on false or inaccurate information, the minister may in his sole discretion revoke such Certificate of Occupancy. The minister reserves the right to reject any application form not properly or fully completed and shall not incur any liability for any such rejection". The information you supply on this form is public knowledge and may be published in the media.