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SYED MUHD & PARTNERS

CONVEYANCING DEPARTMENT

Interview Form

PARTICULARS OF PURCHASER
a) Name

:.........

b) Address

:
..
.

c) NRIC :
d) Contact No. (H/P)

: .....
(H)

:...

(O)

:......

(Email)

PARTICULARS OF VENDOR
a) Name

:..

b) Address

:..

c) NRIC

:..

d) Contact No. (H/P)

:.....
(H)

:..

(O)

:.....

(Email)

:..

e) Solicitors Name

:.....

Contact No

:..

PARTICULARS OF PROPERTY

a) Title
i) H.S.(D)/(M)

:.

ii) Pt No

:.

iii) Mukim/ Bandar

:.

iv) District

:.

v) State

:.

b) Postal Address
:..
...

d) Encumbrances
:..

TERMS AND CONDITIONS

a) Purchase Price
b) Deposit

:..
:..

c) Balance of Purchase Price

:..

d) Mode of Payment

:..............

e) Financier

:..

f) Completion Period

:..................................

g) Extension Period

:..

h) Release of Balance Sum

:..

i) Delivery of Vacant Possession

:..

ATTENDED BY:
Signature

:..

Name

:..

Date

:..

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