| FORM I | (Reg. 30(2)) |
| THE SAINT LUCIA HOUSING AUTHORITY REGULATIONS 1967 |
| Declaration under section 19(2) of the Housing Act, 1966 |
| I............................. of ............................. do hereby declare that I am not disqualified from obtaining a loan by section 19(1) of the Housing Act, 1965 by reason of being a person: |
| (a) | who has received under any enactment of Saint Lucia other than Part 3 of the Housing Act, 1962 a loan for any purposes similar to those specified in section 18 of the said Act and who has not fully repaid the same, or |
| (b) | who is the owner of a house. |
| Dated this ........................ day of .................., 20.......... |
| ................................ |
| Declarant. |
| FORM II |
| THE SAINT LUCIA HOUSING AUTHORITY REGULATIONS 1967 |
| Application for Direct Loan |
| Application is hereby made pursuant to section 18 of the Housing Act, 1966 for a direct loan for the following purpose:................ .................................................... |
| (Here set out any of the purposes set out in the said section 18 that are applicable) ............... ........................................................ |
| Dated this ............................. day of .............................., 20.................... |
| ................................. |
| Applicant. |