Employment Type *

  Employed     Unemployed     Retired  

Employment Status *

  Permanent     Contract     Part Time     Self Employed

Occupation *

Which Sector do you work in? *

  Private Sector     Public Sector  

Name of Employer *

Length of period with current Employer *

-- SELECT OPTION -- Under 3 years 3 - 5 year 5- 10 years 10 - 15 years 15 - 20 years Above 20 years

Net Earnings (GHS Monthly) *

-- SELECT OPTION -- Under 799 799 - 1,499 1,500 - 2,999 3,000 - 4,999 5,000 - 6,999 7,000 - 9,999 10,000 - 14,999 15,000 - 19,999 Above 20,000

Number of years of active work service left with Employer ( to retirement )

-- SELECT OPTION -- 1-5 years 5-10 years 10-15 years 15-20 years 20-25 years Above 25 years

Do you own a house? *

-- SELECT OPTION -- Yes No

If Yes, would you be interested in owning a second house/home? If you answered No from the previous question please select N/A *

-- SELECT OPTION -- Yes No N/A

If No, would you be interested in owning your own house? *

-- SELECT OPTION -- Yes No N/A

How would you want to own a house (Please state in the section if more than one apply) *

  Self Built     Mortgage (Single Application)     Mortgage (Joint Application)     Outright Purchase     Off Plan     N/A

Please specify the region of interest (eg Greater Accra) *

-- SELECT REGION -- Ahafo Ashanti Bono East Brong Ahafo Central Eastern Greater Accra Northern Region Northern East Oti Savannah Upper East Upper West Western Western North Volta

Below are the current available locations of houses up for mortgage under the Scheme. Please select your preferred location.

  Tema     Shai Hills     Kasoa     Amasaman     Kwabenya     Afienya     Ablekuma-Nsakina

Below are the Participating Financial Institutions. Which one will you be interested in? Please specify under if your preferred bank is not listed.

  CalBank LTD Plc     GCB Bank Plc     Republic Bank (GH) Plc     Stanbic Bank Ltd  

Below are the types of houses available: Which type of house will you be interested in? *

  Detached (Ground Floor)     Detached Storey Building (Ground Floor and One-Storey)     Semi - Detached (Ground Floor)     Semi-Detached Storey Building (Ground Floor and One-Storey)     Apartment Style  

How many bedroom(s) are you interested in?

  One Bedroom     Two Bedrooms     Three Bedrooms     Four Bedrooms or More  

Please indicate your budget range (GHS) for the house

-- SELECT OPTION -- Below GHS 190,000 GHS 190,000 - GHS250,000 GHS 250,000 - GHS 300,000 GHS 300,000 - GHS 350,000 GHS 350,000 - GHS 400,000 Above GHS 400,000

Do you earn regular income?

-- SELECT OPTION -- Yes No

Sources of Income (Please tick all that apply)

  Salary     Side Jobs     Family/Spousal Support     Remittances

Other Earnings GHS (Please estimate)

If married, does your spouse earn regular income?

-- SELECT OPTION -- Yes No N/A

Spouse's source of income (Tick all that apply)

  Salary     Side Jobs     Family/Spousal Support     Remittances

Spouse's monthly income in GHS (Please estimate)

How much will you be willing to pay per month (monthly payment/contribution) in getting this house (either in terms of a mortgage or self build)

-- SELECT OPTION -- GHS 500 GHS 1000 GHS 1000 - GHS 1500 GHS 1500 - GHS 2000 GHS 2000 - GHS 4000 GHS 4000 and above N/A

How long are you willing to commit to this monthly payment for?


-- SELECT OPTION 1-5 Years 5 - 10 Years 10 - 15 Years 15 - 20 Years Above 20 Years

How did you hear about the National Homeownership Fund/National Mortgage Scheme

-- SELECT OPTION Word of Mouth Social Media Employer Friends & Family Housing Fair News, TV, Radio

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