Declaration for Application for Public Rental Housing (PRH)
(Applicable to persons who have no fixed employer)
I hereby declare that:
I am a casual worker of (please state your trade / occupation)
without any fixed employer(s) Note 1. The
average monthly income for the past *12 calendar months/___________ calendar months Note 2 before
the date of signing the Application Form/declaration form(s) is HK$ . *Except the
above, I have no other employment income.
All the above particulars furnished in this Declaration Form are true and correct. I understand that by virtue of Section
26(1)(c) of the Housing Ordinance (Cap. 283), any person who knowingly makes any false statement to the Hong Kong
Housing Authority (HA) in respect of an application for a public housing unit shall be guilty of an offence, and shall be
liable on conviction to a fine at Level 5 as specified in Schedule 8 to the Criminal Procedure Ordinance (Cap. 221) and
to imprisonment for 6 months (as at the date of the revision of this Declaration Form, the maximum fine at Level 5 is
HK$50,000). If I make a false statement or furnish false information when applying for PRH, irrespective of whether I
shall be prosecuted for or convicted of the offence, or whether the false statement / false information has any impact on
the eligibility of my PRH application, the HA may cancel my registered PRH application. The HA may also terminate
the tenancy agreement acquired through making a false statement / furnishing false information by virtue of its powers
conferred under the Housing Ordinance.
I understand that applicants or family members whose PRH applications cancelled by the HA on or after 1 October 2023
on grounds of making false declarations or furnishing false information will be barred from re-applying for PRH for a
period of five years from the date of cancellation.
Signature of Declarant :
(Must be the same as that on the Application Form)
Name of Declarant :
H.K.I.C. No. : ( )
Date (dd/mm/yyyy) : / /
(The date of signing must be the same as
that on the Application Form)
* Please delete if inapplicable
Note 1 : Not applicable for casual worker(s) with fixed employer. They should submit the Employer Certificate
(HD527E).
Note 2 : For those who have been employed continuously for less than 12 calendar months, the average monthly
income during the corresponding period of continuous employment before the date of signing the
Application Form/declaration form(s) will be taken.
RCSU2-001E (Rev. 10/2023)
