(LPPSA/N1/1.

2016)
Regn Fee :
Notice Fee :
No. L /
FORM N(1)
( Section 171)

APPLICATION FOR VESTING OF LAND / ESTATE OR INTEREST IN LAND

The applicant DO HEREBY REQUEST the Registrar, Land Registry Office, Land and Surveys Department ................ Division to make
appropriate entries on the Register and the document of title and any other instrument to transfer and vest the land described hereunder or
any interest or estate in respect thereof on to the applicant as successor-in-title.

APPLICANT( Full Name and Address )

LEMBAGA PEMBIAYAAN PERUMAHAN SEKTOR AWAM (THE PUBLIC SECTOR HOME FINANCING BOARD), a
statoury body established under Akta Lembaga Pembiayaan Perumahan Sektor Awam 2015 (Public Sector Home Financing Board Act
2015) and having an address Perbendaharaan Malaysia, No. 9, Kompleks Kementerian Kewangan, Persiaran Perdana, Presint 2, Pusat
Pentadbiran Kerajaan Persekutuan, 62592 Putrajaya.

SUCCESSOR-IN-TITLE TO

The Federal Lands Commissioner

BY THE PROVISIONS OF RELEVANT LAW/COURT ORDER* SEKSYEN 4, AKTA LEMBAGA PEMBIAYAAN

PERUMAHAN SEKTOR AWAM 2015 DAN PERINTAH LEMBAGA PEMBIAYAAN PERUMAHAN SEKTOR AWAM
(TARIKH PELETAKHAKAN) 2015 (P.U (A) 321)

DESCRIPTION OF LAND AFFECTED

Hak Milik : LOT599 No. PT/Lot : LOT599

Mukim : SALAK LAND Daerah : KUCHING

DESCRIPTION OF INSTRUMENT AFFECTED

1. Memorandum of Charge Instrument L.27971/2000 registered at the Land Registry Office on the 07/12/2000.

DATED this day of , 20

SIGNED by the said )

LEMBAGA PEMBIAYAAN PERUMAHAN SEKTOR )
AWAM
(THE PUBLIC SECTOR HOME FINANCING BOARD) )
('Applicant') ) ______________________________
by its Attorney in the presence of :- )

_______________________________
Signature of Witness
Name of Witness
Address
Occupation

REGISTERED at the ......................... Land Registry Office this .......... day of ...........................................................................................
at ........................... hours.

______________________
Registrar

Note : To annex :
1. Issue Document of Title
2. Certified Copy of the Said Documents* STAMP DUTY
3. Signed Copy of Affected Charge