c. Has the property been completed? Yes No 
If still under construction, please state the Estimated Date of Completion:___________________________ (Please submit Sales Brochures) 
Has the property been sold / transferred? Yes No 
If Yes, Date of Sale / Transfer: _______________________________________________________________ (Please submit Sales & Purchase Agreement or Option to Purchase and Notice of Transfer) 
Sale Price: ____________________ 
5. CURRENT USE OF PROPERTY 
a. Residential 
 Owner occupied Vacant 
 Let out (Rental: $ ___________per month) (Please submit Tenancy Agreement / Rent Receipts) 
b. Non-Residential 
 Own Business Vacant (Please attach documents) 
 Let out (Rental: $__________ per month) (Please submit Tenancy Agreement / Rent Receipts) 
c. Land 
 Owner occupied Vacant 
 Let out (Rental: $__________ per month) (Please submit Tenancy Agreement / Rent Receipts) 
PARTICULARS OF PERSONS LIVING IN THE PRIVATE PROPERTY / OTHER PROPERTY 
 Name 
 NRIC No 
Age 
 Relationship to Applicant 
6. ANY OTHER RELEVANT INFORMATION ___________________________________________________________________________________________________________________ 
7. DECLARATION I understand and am fully aware that this Questionnaire Form shall form part of my application to purchase an HDB flat. 
I further declare that all the information given in this form are true and I have not suppressed any information which may affect my eligibility to purchase an HDB flat. 
I fully understand that acceptance of this Questionnaire Form and any non-refundable processing fees payable is not an approval for me to apply for an HDB flat as approval still has to be sought. 
________________________ ___________________________ ______________________________ RTP/Signature of Applicant RTP/Signature of Co-applicant Date 
If you have any further enquiries, you may call our Sales/Resale Customer Service Line:1800-866 3066 
Sales Office: 1st Storey, Atrium, HDB Hub, 480 Lorong 6 Toa Payoh, Singapore 310480