Application | ECDHS Revamp

Province *

Department *

Municipality *

Date of Disaster *

Firstname *

Surname *

Designation *

Telephone *

Fax Number *

Email *

Postal Address

Street *

Street2 *

Postal Code *

City *

Physical Address

Street *

Street2 *

Postal Code *

City *

DESCRIPTION OF EMERGENCY HOUSING SITUATION

Brief description of the emergency housing situation *

Description of location and cause of the emergency housing situation *

Describe level of destitution /displacement and impact on persons. *

Nature, scope, and extent of the emergency housing situation *

Has the MEC agreed to this application *

COMMUNITY PROFILE

The number of affected persons, households, and families *

An income profile of the families *

The number of persons unemployed *

Whether relocation / resettlement is required, and, if so, full reasons *

LAND, MUNICIPAL INFRASTRUCTURAL SERVICE AND SHELTER

Land is required *

Whether the current settlement

Settlement pattern before the occurrence of the event which caused the emergency housing situation

Nature of Property Type

Have the affected persons been consulted *

Has their consent and cooperation been obtained *

Land Location

Street *

Street2 *

Postal Code *

City *

Land been identified for possible settlement

Ownership of the Land

Basis for Land Availability

Housing Development/Housing Purposes

Timeframe of preparing for are settlement

Subsidies

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Postal Address

Physical Address

DESCRIPTION OF EMERGENCY HOUSING SITUATION

COMMUNITY PROFILE

LAND, MUNICIPAL INFRASTRUCTURAL SERVICE AND SHELTER

Land Location

Land been identified for possible settlement