Taman Segar RMM

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Prioritized Registration

PROJECT Taman Segar Residensi Wilayah


PHASE

A. DESCRIPTION OF PROPERTY

BLOCK TYPE

PARCEL NO. BUILT-UP AREA 850SQFT

NAME OF APPLICANT(S) HAND PHONE / TELEPHONE NO: HOME/OFFICE

1.

2.

3.

NRIC NO/S (NEW) / Co. No. RACE GENDER CITIZENSHIP BUMI / NON-BUMI

1. MALE / FEMALE B / NB
2. MALE / FEMALE B / NB
3 MALE / FEMALE B / NB

CORRESPONDENCE ADDRESS: EMAIL ADDRESS

Postcode:

C. PAYMENT DETAILS

PURCHASE PRICE RM PAYMENT RM O/R NO:

PAYMENT OPTION (PLEASE TICK) CHEQUE / CARD / IBG RM

FINANCIER TYPE CASH BANK GOVT LOAN

BAL 10% & SPA DUE ON

SPA SOLICITOR SPA SOLICITOR CONTACT :

D. SOURCE

HOW DID YOU COME TO KNOW ABOUT OUR PROJECT ? Bumi Lot

1. NEWSPAPER (STAR / MM / SC / NY / NST) - To Circle Yes

2. WORD OF MOUTH / REFERRALS

3. SIGNBOARD / BANNER No

4. OTHER SERVICES

I/WE HEREBY CONFIRM THAT THE PARTICULARS GIVEN HEREIN ARE CORRECT AND I/WE HAVE FOR OFFICE USE ONLY
ALSO READ AND AGREED TO THE TERMS AND CONDITIONS ATTACHED.
SOLD BY ATTENDED BY

Agency Name: Name:

Date: Date :

1 2

APPROVED & ACCEPTED BY

3 4
Authorised Signatory
Date : Date : Date:

You might also like