Free Cambodia - Federal

Bak´ es~i'sUmkarGnujatiCYlpæH Request for Tenancy Approval
Housing Choice Voucher Program

U.S. Department of Housing and Urban Development Office of Public and Indian Housing
OMB Approval No. 2577-0169 (exp. 09/30/2010)

esck¶iraykarN_ GMBi kar¨bmUl yk Bt_man eday mansMnYr V"n'sµan k~¬gkareqÂiy tb 08/ema"g k~gcMeLiy nimUy @ rab'TaMg eBl Binit´emil esk¶IENnaM, eBl¨bmUlyk ¨bPB Tin~n&y ehiy nwg rk§aTuk Tn~n&ysMxan'@ karsYrsMnYrenaH eT . ehiynak'eqÂiy manesriPaB nwg eqÂiy ò mineqÂiy luH¨ta Et Bt_manTMagenaH ¨tUvTTUl sðal'eday ,manelx rbs'åksYg. OMB

ehiy nwg ¨bm"UlykB_man. TiP~ak'gar rbs'eyig minVnÓbfm

åKYsarCab'eQµaH Gacdak'Bak´ eTAkan'Ggðkar Public Housing Authority (PHA) ebikalNaelaknak' dak' Bak´ sUmCYlpæH åsbtam kmµviFI

Section 8 of the U.S. Housing Act of l937 (42 U.S.C. 1437f). Ggðkar PHA eåbiBt_manTMagenaH edimºi BicarNaeti åKYsarenaH GacCYlpæHenaH VneT rdaPiVl shB&nì .. . Bt_manTagenaH min Gac Tuk CakarsMg"at'VneLiy ..

ebipæHenaH TMen ehiyebikarCYlpæHenaHåsbtam escki¶dMrUv rbs' kmµviFICYlpæH .,kareqiÂy nwg sMnYr CakardMrUv edimºiTTUlykåbeyaCn_Bi

1. eQµaH (PHA)

2. Gas&ydìan

3. «f©Ex en karcab'ep¶imdakBak´ sUmCYl 9. åbePTpæH / GaV"tm"g'

4.

cMnUnbnæb'edk

5. Year q~aMsg'

6. d«m CUl

7. luykk' .

edimºieFÃiGFikarkicÍ

8.ef© Edl pæHTMen

pæHsMrab'åKYsar mYyDetached / pæHCYr

pæHGarden / Walkup

Gasg's&r/ High-Rise

10. ebikalNa pæHenaH rdìCYy sUm bJØak' ¨bePT Ep~k 202 eKhdìan Ep~k 221(d)(3)(BMIR) tak'Bnëda Ep~k 236 (bg'¨bak'Fana É eT ?) Section 515 karGPivDón_CnbT

ep§g @ (sUm ra"yra"b' )_________________________________________________________________________________ 11. TwkePÂig nwg m"asuine¨bi¨Vs'

mÍas'pæH ¨tUvp¶l' É bg'luyCMnYs «fÂePÂig nwg Twk ehiy nwg masIne¨bi¨basbJØak' xageåkam Gk§r "O". nak'CYlåtUv bg'efTwk ePÂig nwg masuine¨bi¨Vs'tam Gk§ "T".ebikalNa KµankarpÂas'b¶èreT .. ¨bkar kMedA cMGinGahar FugTwkek¶A GKûisniy É d«T Twk lU Twksí¬y

bJØak'¨bePTe¨bg Ósµ&nFmµCati Ósµ&nFmµCati Ósµ&nFmµCati Ósµ&nFug Ósµ&nFug Ósµ&nFug e¨bg e¨bg e¨bg GKðisniI GKðisniI GKðisniI F´èg ò d«T F´èg ò d«T F´èg ò d«T

p¶l'[BI

ecjluyBI

kareVHBum¸p§Bp§ayBielIkmunVn¨tUvTukCaemaX:

TMB&r 1 of 2

form HUD-52517-Cambodian (06/2003) ref. Handbook 7420.8

yksMramecal ma"suinåtCak' TUrTwkkk c¨gûan / ma¨kUevv d«T sUmbJØak'

12. a.

minåtUvelisBi dEm CYl[nak'dET EdlminVncUlrYmk~ug EdleTibnwg CYl [nak'dET.

kmµviFi dMrUv [ Ggkar PHA bJØk' fa dem CYlpæH

kicÍsn´a rbs'm©as'pæH

kmµviFiCYlpæH .mÍas'pæH elis Bi 4 pæH åtUvbMeBj Ep~kxageåkamenH

Gas&ydìan nwg elxpæH 1.

«f©CYl

d«mÂ

c sUmKUs _______ åtUvåVb' fa man Cati sMNr enAku~¬g faM

labeT.minrab'pæHEdlsg' eåkayBief Ti 1 Ex mkra qaM 1978 .

2.

sMNreT eday GFikar Edlmansjab&åt TTYlsðal'eday rdìaPiVl shB&nì, ______ escki¶EfÂg pØab'CamUy p¶l'Bt_man GMBi f~aMlabBN_ [maneåKaHf~ak' dl' TI kenÂgrYm

_______ TIkEnÂgeåkApæH manf~aM lab VnåtUvrkeXijfa minmanFatu

3.

edlGacenaH

Bt_manenaH VnåtUvp¶l'edaym©as'pæH [åKYsar .. 13 b. sac'jati lðikNa Et Ggðkar PHA bJØak' m©Ías'pæH minEmnCa{Bukm¶ay , minEmnkUn,ecA, bgbèín É

enAe¨kApæH

.

PHAminVn Binit´ emil Giriyabf rbs' åKYsar òsm nwg Gnujati mi [ CYlpæHeT . enH Ca muxnaTi rbs' mÍaspæH .. .

ehiyVnsresråbab'b'©as'pæH fa karyl'åBm[CYlpæH Bikar.

14. kicÍsn´a CYlpæH åtUv rab' ma¨taTagGs' rbs' Ggðkar The HUD tenancy addendum. 15. PHA nwgerobcM [ manGFikarkic©mÍas'pæH nwg åKYsar eTaHCa VnåtUv Gnujati k_eday

minKitGMBier¯g åKYsareT ehiy Gac sMrYl[smaCikåK¬èsarNa Edl

sumsrsereQµaHmÍas'pæH / dMNag mØas'pæH ht¶elxa Gas&ydían TUrs&BÃ «f© Ex

sresrQµaHm©as'pæH hat¶elxa emåKYsar Gas&ydíanrbs'åKYsar TUrs&BÃ «f© Ex

äksarenH Ca esck¶IbkE¨b rbs' äksar¨sbcºab'rbs'Ggðkar HUD Edl Vn¨tUvp§Bp§ay. Ggðkar HUD p¶l' karbkE¨b dl' Gs'elak G~k, Edl Ca karsmrm´ gay¨sYlnwgCYyelak G~k [ yl'dwg GMBIsiTìirbs'elak G~k nwgkatBÃkicÍ . äksarCaPasaGg'eKÂ enH mansPaBtampÂèvkar ¨sbcºab' nwg mansuBlPaB . äksar bkE¨bPasa minEmn äksar tampÂèvkareT .

kareVHBum¸p§Bp§ayBielIkmunVn¨tUvTukCaemaX:

TMB&r 2 of 2

form HUD-52517-Cambodian (06/2003) ref. Handbook 7420.8