SCHEDULE XV NATIONAL LAND CODE ‘SELANGOR LAND RULES 2003 (PARAGRAPH 51(0) ) APPLICATION FOR REGISTRATION AS REPRESENTIVE. Register of titles Land Administrator, +1/ We Identity card No soft Being the personal representatives of Deceased, hereby apply to be registered as such with respect to the deceased’ estate consisting of land described in the schedule below. 2. The following are submitted herewith (@) the grant of probate / letters of administration (b) tthe issue of document of ttle / duplicate charge © + 3. ‘The prescribed fee of RM is submitted herewith Dated this . day of 20 ‘Signature of applicant SCHEDULE OF LAND * AND INTEREST *Town/ | *Lot/Parcel/ | Description | Shareofland | Regstered | Registered No. Village/ Lo.No and (ifany) No.of Of charge Mukim No.of title Lease/sublease | _(if'any) (ifany) “Delete a appropriate FOR OFFICIAL USE Endorsement of date of death and memorial of vesting in the representative mad in the register document of title mentioned in the schedule, with effect from how. Minote fon the day of 20. File No Volume. Folio Miscellaneous Presentation No as) : Register of tiles/ Land Administrator