Applicant Names

Applicant 1 *

Title

First Name *

Last Name *

Applicant 2

Relationship of Applicants

Address of Applicants

Applicant 1

Address *

Contact Details

Your Email Address *

Mobile Phone *

Home Phone

Work Phone

Rental Information

Do You Rent? *

Weekly Rent Amount

Landlord / Property Manager

How Long at This Address

Previous Address

Previous Weekly Rent Amount

How Long at This Previous Address

Work history

Employment Status *

Combined Gross yearly income (include all forms of income) *

Combined approximate yearly outgoings - include credit card repayments, personal loans, electricity, phone bills, insurance etc. *

Number of dependent children under 18

Property ID or geographic area you want to purchase in

Type of property you would like to buy

By submitting this assessment form you authorise and agree for NHOA to share your details with our aligned service companies for the sole purpose of determining your eligibility to participate in the program.