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					               APPLICATION FORMS
FOR OFFICE USE ONLY

Applicant:
Joint applicant:
Reference Number: RE -
Account:       RE -
State:
Town:
Area:
Solicitor:
Date of application
Reference number:




             TOGETHER WE CAN DEVELOP SOUTH SUDAN
                              Application
                              Real Estate
Important: before completing this form, please read the accompanying
guide. Fill in all the parts. If there is not enough space for your answer,
use A4 page to provide additional information.

If you want help to complete your application form, you may wish to contact a
competent adviser, for example a solicitor or agent, friend or relative. You
may also use our application officer.

We recommend that you keep a copy of this application.

NOTE: Some of the information you provide on this form will be stored on a
computer database and would not be shared with any other parties.

Please ensure that you read the guide that accompanies this form. You
should ensure that you understand the criteria for eligibility for housing in our
real estate before submitting your application. Full fees cannot be returned for
applications that fail.

Please write in BLOCK CAPITALS using black or blue ink.

Please enter all dates as dd/mm/yyyy, example 10/04/2008

Please note that for a joint application, each applicant need to complete a
separate application form.




                                       2
                  Section 1: Personal Information
This is a program to help resettle citizen of …………………. back home.
Please help us by answering the question below before completing this form.
Are you from …………………….?                 Yes: eligible         No: not eligible
If the answer is No please do not complete this form but return it to our office.
However if you have dual citizenship, you are eligible and may fill this form.
1.1 Your Details
Please give previous reference number if applicable -----------------------------------------
Please say when you were given the SBL reference number                                     ----------------------------------

Title: Mr------ Mrs ------               Miss -------         Ms ------           other title --------
Full name: ---------------------------------------------------------------------------
Nickname: ----------------------------------------------------------------------------------------
Nationality: origin --------------------------------                    present---------------------
Date of birth (DD/MM/YYYY) ---/---/---
Village, town or city of birth ----------------------------------------------------
Country of birth ---------------------------------------------------------------------
Sex: male -------------------------- female: ---------------------
Marital status: ----------------------------------------------------------------------
Present address: -----------------------------------------------------------------
Telephone ---------------------------------------------------------------------------
Email: --------------------------------------------------------------------------------
1.2 Parents Details
Details of your parents ------------------------------------------------------------------------------------
Your father’s full name: ---------------------------------------------------------------
Your father’s nationality: -------------------------------------------------------------
Your fathers date and place of birth: ----------------------------------------------
Your father village, town or city: ------------------------------
Father’s present address: ------------------------------------------------------------
Your mother’s full name: -------------------------------------------------------------
Your mother’s nationality: ------------------------------------------------------------
Your mother’s place and date of birth: --------------------------------------------
Your mother’s village, town or city in: --------------------------
Mother’s present address: --------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------


                                                          3
1.3 Spouse Details
Give details of your husband/wife ---------------------------------------------------------------------
Full name of husband or wife: ------------------------------------------------------
Husband’s or wife’s date of birth: --------------------------------------------------
Your husbands’ or wife’s village, town or city in South Sudan: ---------------------
------------------------------------------------------------------------------------------
Husband’s or wife’s present address: -----------------------------------------------------
-------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
1.4 Children Details
Give details of any children under the age of 18, and whom you would like to
put as part of this application.
Full name                                                 Sex       Date of birth         Place of birth
1.
2.
3.
4.
5.

1.5 Joint Applicant Details
Give details of any partner you would like to joint with you in this application
Full Name: -------------------------------------------------------------------------------
Address: -------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------
Telephone: -------------------------------------------------------------------------------
Email: -------------------------------------------------------------------------------------
What is the percentage of your share? You ------------ Partner -------------
1.6 Solicitor Details
Give details of your solicitor recommended if you are making this application and not
available all the time to follow up the process of your application.
Full name: -------------------------------------------------------------------------------




                                                      4
Address: -------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------
Telephone: -------------------------------------------------------------------------------
Email: -------------------------------------------------------------------------------------

                    Section 2: State Information
2.1 State Details
Your state: ----------------------------------------------------------------------------------------
Your county: -------------------------------------------------------------------------------------
2.2 Race or Ethnic Group
Give details of your race or ethnic group this is to help us provide equal opportunity
for all.
Your tribe: ---------------------------Section ---------------------------------------------------
Your village ---------------------------------------------------------------------------------------
Your area -----------------------------------------------------------------------------------------
Your chief (Sultan)-------------------------------------------------------------------------------

           Section 3: Accommodation Information
3.1 accommodation requirement
Give details of your housing requirement. Please tick in a box in the table
below:
House         Description                                            Please
type                                                                 tick




3.2 House Location in Southern Sudan
Give details of location you would like to book your house in?

State in South Sudan                     Town           Please Tick Area (for office use only)




                                                   5
                Section 4: Referees Information
This part is to be filled in by your referees
4.1 Referee 1
Name of applicant:------------------------------------------------------------------------------
Referee’s full name: ----------------------------------------------------------------------------
Address: -------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
Date of birth ---/---/---------
Village/town/city and country of birth
Telephone: -------------------------------------------------------------------------------
Email: -------------------------------------------------------------------------------------
I declare that
 I am not a relative or solicitor of the applicant
 I have known the applicant in section 1 of this form personally for -----years
 I am willing to give full details of my knowledge of the applicant
 I support her/his application for housing in
Signature of referee 1                            Date

4.2 Referee 2

Name of applicant: ------------------------------------------------------------------------------
Referee’s full name: ----------------------------------------------------------------------------
Address: -------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
Date of birth ---/---/---------
Village/town/city and country of birth
Telephone: ----------------------------------------------------------------------------------------
Email: ----------------------------------------------------------------------------------------------
I declare that
 I am southern Sudanese aged 25 or over
 I am not a relative or solicitor of the applicant
 I have known the applicant in section 1 of this form personally for -----years
 I am willing to give full details of my knowledge of the applicant
 I support her/his application for housing in




                                                   6
Signature of referee 2                                     Date

                        Section 5: Declaration By Applicant.
I declare that I am interested in joining resettlement back home in
………………………….. scheme organised by …………………………... I
understand that this is an application to book my house in and a pre sale
service but I will fill a detailed form to process the building of my house.
Signature                              Date




                                     7
Application Instructions
Before filling out the body of the form, please answer the questions on the top
of the form as to whether you are a ……………. If you answer no to this ques-
tion, you may not use this form to register or book your house. However, you
are eligible by naturalisation or dual citizenship.
Section 1 Personal Information
1.1 Your Details
Put in this part your details including:
Title: Mr/ Mrs/ Ms/ Miss and other title such as Dr/ engineer
Full name put here your full name in this order — First, 2 Middles and Last.
Do not use initials.
Nickname put here your famous nickname.
Nationality: put your origin nationality, present or other nationalities acquired
demonstrated by legal documents. Note: other nationalities acquired may not
affect your legal rights to book your house with us if you are from
……………………..
Date of birth: put the date of birth in this order day, day/ month, month/ year,
year, year, year e.g. 04/07/2008. Be careful not to use today’s date.
Country and village, town or city of birth. Note where you are born does
not affect you rights.
Sex: put here if you are a male or female
Marital status: put here if you are married, divorce, widow or single
Previous and present and address: put here where you are living in the
present and before. Note: If you live in a rural area but do not have a street
address, or if you have no address, please describe the area or you may use
a map to show it.
Telephone: We ask for your telephone number in case there are questions
about your application. However, if you do not have a telephone please tell us
how we can get in touch with you.
ID number: You may be required to provide Identification number. Passport
or ID card. Note that the passport must be valid
 Electronic mail: put here your email address.
Photo: please note you are required to provide two passport size pictures
with a white background and write your full name at the back of each photo.
Ask us about taking your picture.
1.2 Parents details
Put in this part your parents details:
 There are similar names in …………………. Please provide details of your
    parents to help distinguish between you and others.
 We are resettling citizen of …………………….. back home. You must be
    from southern Sudan. You may be eligible by naturalisation such as one of
    your parent. Please provide details of your parents.

1.3 Spouse Details
Put in this part your spouse details:
 There are people who may have more than one wife. Please provide only
   one wife’s details with this application




                                       8
  Our programme is to resettle citizen of ……………………….. back home.
   To be eligible to this programme you must be from ………………………….
   You may be eligible by naturalisation such as a spouse. Please provide
   details of your spouse who is from …………………….
1.4 Children Details
Put in this part your children’s details:
 You may wish to book a house for your children. Give details of any
   children under the age of 18 whom you would like to put as part of your
   application.
1.5 Joint Applicant Details
Put in this part your joint applicant details:
 You may wish to joint with others to help you in financing your house.
   Please give details of any partner you would like to joint with you in this
   application. We recommend that you select a competent partner.
 The joint applicant must be registered with us in a separate form and put
   your details in their application.
1.6 Solicitor Details
Put in this part your solicitor’s details:
 If you are abroad in Europe, USA, Canada, and Australia or else and wish
   to joint our resettlement back home programme, we recommend that you
   assign a solicitor to follow up the process of your application. For more
   information on list of solicitors in …………………. please call us.
 Please give details of your solicitor to represent you.

Section 2: State Information

2.1 State Details
Put in this part your state, county, boma and payam information. Please do
not proclaim to be from the area if you are not. You may be prosecuted.
 It is our policy to provide an equal opportunity for all. Please provide your
   state details to help us.

2.2 Race or Ethnic Group
Put in this part your race and ethnicity group details:
 It is our policy to provide equal opportunity for all. Give details of your tribe,
   village, area and the chief in your area. This is to help us provide equal
   opportunity in distributing our services.

Section 3: Accommodation Information
3.1 accommodation requirements
Put in this part your accommodation details.
 We have categorised our housing type into four types super lux, lux,
   middle cost and low cost type.
 Super lux type is 140 m² that may consist of five or more bed-rooms, 2
   bath rooms, 3 toilets, 2 living rooms, 2 sitting areas, 1 salon, terrace, and n
   optional swimming pool
 Lux type is 120 m² that may consist of five or more bedrooms, 2
   bathrooms, 2 toilets, 2 living rooms, 2 sitting areas, 1 salon, 1 terrace, and
   an optional swimming pool.



                                         9
   Middle cost house is 80 m² that may consist of three to four bedrooms, two
    living rooms, two bathrooms and toilet, a terrace and an optional
    swimming pool.
   Low cost house is a 50 m² that may consist of one to two bedrooms, sitting
    area joint bathroom and toilet.
   These houses types are for guidance only but you may design your house
    to suit your needs.

   Cost of building the house varies from area to another.
   If you are applying for a mortgage to finance your house, only one
    mortgage will be process until it is paid off.
3.2 House Location in southern Sudan
Put in this part your house location details.
 We are building houses in the capitals of ten states of Southern Sudan
   including: Juba, Torit, Bor, Rumbek, Aweil, Bentiu, Malakal, Kuacjok, Wau,
   and Yambio.
 Please note you may book a house in more than one state in Southern
   Sudan. However, only four in one area. You will be required to build a
   concrete fence around each plot.


Section 4: Referees Information
Put in these part details of two referees who must support your application.
Each must have known you personally (rather than just professionally) for at
least 3 years and be:
 A Southern Sudanese
 Aged 25 years or over
 Is not your relative or solicitor
 Is willing to give full details of knowledge of you if required

Section 5: Declaration By Applicant.

Read this section carefully before inserting your name clearly in box 7.1
and ticking each box at 7.2 – 7.6 to confirm the points raised.
If you meet the requirements described in this Guide sign and date the
form in box 7.9. You are advised to read this guide carefully to ensure that
you do satisfy all the requirements.
If you do not meet the requirements but think the Home Secretary should
exercise discretion in your favour you should provide in section 7.8 the
special circumstances in your case. If your special circumstances are not
accepted however your application will be refused and your fee will not be
fully refunded.
27
Applications that fail generally do so because applicants do not tell us about
offences and convictions, or the residence requirements have not been
satisfied.
If you are applying on the grounds of five years residence and have had
more than 450 days absence in the five year period prior to your


                                      10
application being received or you have not had indefinite leave to remain
in the United Kingdom for twelve months you should give the reasons at
section 7.7 of the application form as to why you feel discretion should be
exercised in your favour to waive these requirements.
If you are applying on the grounds of marriage to a British citizen and you
have had more than 270 days absence in the three year prior to your
application being received similarly provide reasons at section 7.7.
You must sign the form yourself. If you cannot sign the form you must
make a mark or a fingerprint and ask someone to sign saying that it is
your mark or fingerprint.
If the declaration in section 7 of the form is not completed, it will be
invalid. i.e. You must sign the form to ensure it is valid.
DOCUMENTS TO BE SENT IN SUPPORT OF AN APPLICATION
PLEASE NOTE: It is our policy to return valuable documents by
recorded delivery post. If you wish your documents to be returned by
other postal service or courier you will need to supply a pre-paid
delivery
envelope ensuring that the full postage stamps or fees are included.

Section 12 — Signature
Review the information in item 9 in the instructions under your State. Before
you sign or make your mark, make sure that:
(1) You meet your State’s requirements, and
(2) You understand all of Box 9.
Finally, sign your full name or make your mark, and print today’s date in this
order — Day, Month, Year.
If the applicant is unable to sign, put in Box D the name, address, and
telephone number (optional) of the person who helped the applicant.




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KISAKA  WAMBEYE KISAKA WAMBEYE Consultant
About Am Kenyan, 39 years , currently working in Southern Sudan as a Consultant in IT,Kisaka Wambeye worked in the high-tech industry for almost 15 years, specializing in IT Technology/Consultant. He left his high upwardly-mobile corporate career to complete his studies to become an IT Consultant. Armed with a sound knowledge of contracts and negotiations, Kisaka brings experiences and skills to clients who need to have their IT Problems. Kisaka's goal is to put you first. He will ensure you are offered the very best options, I am also one of the founder member of Southern Sudan youth association dealing with street kids.