E.g. REN60000, PEA3000, E3009
E.g. Name (IC No. XXXXXX-YY-ZZZZ)
E.g. Lot 1234 Block 23 Muara Tebas Land District
Postal Address of Property
E.g. Five Hundred and Sixty Thousand
E.g. Name (IC No. XXXXXX-YY-ZZZZ)
I/we declare that the information provided here is true and correct.