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FORM TO BE COMPLETED - INDIVIDUAL

Details of Property

Parcel No. : …………………………………………………………………………………

Cash/ Bank Facility : …………………………………………………………………………………


(Which Bank)

Purchase Price (RM) : …………………………………………………………………………………

Details of * Vendor(s)/Purchaser(s)/Assignor(s)/Assignee(s)

Name (in full) : …………………………………………………………………………………

NRIC No. : …………………………………………………………………………………

Address : …………………………………………………………………………………

…………………………………………………………………………………

Date of Birth : …………………………………………………………………………………

Sex : …………………………………………………………………………………

Citizenship : …………………………………………………………………………………

Telephone number : …………………………………………………………………………………

Email : …………………………………………………………………………………

*I/We, the * Vendor(s)/Purchaser(s)/Successful Bidder(s), hereby confirm that the above particulars are
true and correct.

....................................................................................
Name of * Vendor(s)/Purchaser(s) Assignor(s)/Assignee(s)

*Delete whenever not applicable


FORM TO BE COMPLETED - COMPANY

Details of Property

Parcel No. : …………………………………………………………………………………

Cash/ Bank Facility : …………………………………………………………………………………


(Which Bank)

Purchase Price (RM) : …………………………………………………………………………………

Details of * Vendor(s)/Purchaser(s)

Name (in full) : …………………………………………………………………………………

Company No. : …………………………………………………………………………………

Address : …………………………………………………………………………………

…………………………………………………………………………………

Date of Incorporation : …………………………………………………………………………………

Equity Composition : …………………………………………………………………………………

Telephone number : …………………………………………………………………………………

Fax No. : …………………………………………………………………………………

Nature of Business : …………………………………………………………………………………

Contact Person : …………………………………………………………………………………

Email : …………………………………………………………………………………

We ……………………………………., hereby confirm that the above particulars are true and correct.

SIGNED for and on behalf of the Company


by its authorized signatory

...............................................................
Name:
NRIC No.
Designation:
Company Rubber Stamp:

*Delete whenever not applicable

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