Form 19B

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National Land

Code Form 19B

[Section 323]
APPLICATION FOR ENTRY OF A PRIVATE CAVEAT

To the *Registrar/Land Administrator Selangor

I, CHONG CHEE KEONG (NRIC: 590102-10-4567) of No. 32 Taman Sentosa 41200,


Klang Selangor Darul Ehsan hereby apply for the entry of a caveat upon the title to the land
described in the schedule below; to be expressed to bind—
*the land itself/the particular interest described in the said schedule.

2. The grounds of my claim to the *land/interest are—

(a) Cheong Kok Yong ((NRIC: 540512-42-5405) has purchased the land GM 520, Lot
7044, Mukim Tanjung Dua Belas, Daerah Kuala Langat, Negeri Selangor Darul Ehsan
(hereinafter referred to as “the Land”) and the purchase price was paid by Yew Lian
Door Frame, a business owned by CKY and his three brothers.

(b) Yew Lian Door Frame then changed its name to Sykt Union Wood Industries (SUWI)
which was later incorporated using the name Sykt Union Wood Industries Sdn Bhd
(hereinafter referred to as “the Company”).

(c) The company has taken over all assets and liabilities of SUWI including the Land.
The Land is registered under the names of individual persons, Chong Ket Kin (NRIC:
580118-10-5801), Chang Kok Soi (NRIC: 570229-10-5702), Cheong Kok Yong @ Ku Lon
(NRIC: 540512-42-5405), and Chong Yoon Min (NRIC:550623-42-5506) (hereinafter
referred as the “Registered Proprietors”) with each of the Registered Proprietor are
holding ¼ share of the Land as the trustees for the company during their lifetime.

(d) Cheong Kok Yong and the administrators of the three Registered Proprietors have
brought several suits and originating summons regarding the Land since 1997. I have
entered this Private Caveat on the property, to protect the land and its interest as Sykt
Union Wood Sdn Bhd is holding the land on trust.
3. As required by section 323 of the National Land Code, I now submit—

(a) the prescribed fee


the prescribed fees of RM 300.00;
(b) a statutory declaration of *myself/my advocate and solicitor verifying the claim set
out in paragraph 2 above; and
(c) if relating to a part of the land, a description or a plan of the land affected, or if
relating to an undivided share in the land or part thereof, a description thereof.

**4. The last known address of the proprietor in my knowledge is:


No. 24, Bandar Mahkota Banting, 42700, Banting Kuala Langat, Selangor

*5. I hereby agree to accept service by facsimile and the number is +603 7956 2661

Dated this 8th day of May 2020

CHONG CHEE KEONG


(NRIC: 590102-10-4567)
............................................................
Signature (or other form of
execution) by or on behalf of
applicant
I, NUR NADIA SYUHADA BINTI ROSLI (NRIC:
thumb print 001213-02-4456), an advocate and Shah Alam
High Court hereby testify that the above *signature/thumb print was *written/affixed in my
presence this 8th day of May 2020, and is the true *signature/thumb print of—
CHONG CHEE KEONG (NRIC: 590102-10-4567)

who has acknowledged to me

(i) that he is of full age,

(ii) that he is a citizen of Malaysia,

(iii) that he has voluntarily executed this instrument, and

(iv) that he understands the contents and effect thereof.

As witness my hand this 8th day of May 2020

..............................................................
.
Signature
SCHEDULE

Where the address of the person claiming under this instrument is outside the Federation, an
address within the Federation for the service of notices is to be added in this space.
................................................................................................................................................................
................................................................................................................................................................

SCHEDULE OF LAND* AND INTEREST

*Town/ *Lot/Parcel/ Description Share of Registered No. Registered No.


Village/ L.O. No. and No. of land (if of *lease/ of Charge
Mukim Title any) sublease (if any)
(if any)

(1) (2) (3) (4) (5) (6)


Mukim Tanjung
Dua Belas Lot 7044 GM 520 All None None
Daerah Kuala
Langat

*Delete as appropriate
**Not applicable in the case of a caveat binding a particular interest only

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