To:
The Land Administrator
............................................
*I/We
..................................................................... the
proprietor(s) of the land scheduled below,
of (Address)
............................................ hereby apply for the building
constructed on the land scheduled below to be classified as a low-cost
building for a certificate to be issued to * me/us.
2. * I/We submit herewith—
(a) fee amounting to RM ................................
(b) further details of the building built on the above-mentioned
land as in Appendix ‘A'; and
(c) a copy of the approved building plan.
Dated this ........... day of .................................., 20
...........
....................................................
Signature of Applicant
SCHEDULE
District ..............................................................
Precinct .........................................
Lot No. ..............................................................
Description and No. of Title ............................
APPENDIX ‘A'
ADDITIONAL PARTICULARS CONCERNING BUILDING(S) TO BE CLASSIFIED AS
LOW-COST BUILDING(S)
1. Location of building(s):
2. Number of buildings:
3. Nature of construction:
4. Cost of building(s):
5. Number of storeys:
6. Number of parcels:
7. Number of rooms in each parcel:
8. Sale price of parcel:
9. Other conditions in the sale of parcels (e.g. can be sold only to
those whose monthly income is less than RM1500.00 etc.):
10. Date of completion of building:
11. Other relevant information (e.g. amenities, etc.):
