National Land Code 26
National Land Code
Form 6A
[Sections 97 and 98]
NOTICE OF DEMAND: ARREARS OF RENT
To ..............................................................................................................................
of ................................................................................................................... ............
proprietor of the land/s described in the 1st and 2nd columns of the Schedule below.
Whereas the rent reserved on the said land/s and due in respect of the current
year is unpaid and, with effect from 1 June, in arrear.
You are hereby required, within three months of the date of the service of this
notice, to pay *at the Land Office of this district/at ................... all the sums now
due as entered in the 3rd-6th columns of the Schedule and totalled in the final
column thereof.
And take notice that, if *the total/any of the totals specified in the final column
is not paid in full within the said period of three months, then I the undersigned, by
virtue of the powers conferred by section 100 of the National Land Code, shall by
order declare *the land/the land in question forfeit to the State Authority.
Dated on ………………………….....
…...............................................................
Land Administrator
District .....................................................
SCHEDULE OF LAND AND ARREARS
Description & *Lot/ Current Arrears Fees, etc. Arrears Total due
No. of Title L.O. No. Year’s from chargeable as Fee/s (7)
Rent
(1) (2) previous rent (6)
(3) years
(4) (5)
National Land Code 27
SUPPLEMENT
To .......................................................................................................................... ...
of ..............................................................................................................................
*Chargee/Lessee/Sublessee/Tenant/Lienholder/Caveator/Easement Holder.
Should you have reason to believe that the proprietor of that land scheduled
above in which you possess or claim an interest will make default in payment of the
sums now declared due thereon, you may avoid the forfeiture of such land by paying
in full to the Land Administrator, within the time specified, the total specified in
respect of that land.
And take notice that (without prejudice to any right under that section to sue the
proprietor direct) the following special rights of recovery exist by virtue of section
98 of the National Land Code:
(a) any sum paid by a chargee shall be added to the first payment thereafter
due under the charge;
(b) any sum paid by a lessee, sublessee or tenant may be recovered by
deducting the amount of such sum from any rent then or thereafter due
from him to the proprietor or other person under whom the land is held;
(c) any lessee, sublessee or tenant who incurs any additional liability or
suffers any deduction under that section may recover the amount of such
liability or deduction by making a corresponding deduction from the
amount of the rent payable by him.
Dated on ………………………….....
…................................................................
Land Administrator
District ......................................................
*Delete as appropriate
National Land Code 28
National Land Code
Form 7A
[Section 128]
NOTICE TO REMEDY A BREACH OF CONDITION
To …........................................................................................................................
of .............................................................................................................................
proprietor of the land scheduled below.
Whereas I the undersigned am satisfied that a breach of the condition scheduled
below has arisen in that—
………………………………………………………...……...……………………
………………………………………………………...……...……………………
………………………………………………………...……...……………………
(Here describe the nature of the breach)
Now therefore, in exercise of the powers conferred by section 128 of the
National Land Code, I hereby require you within a period of ……………………
from the date of service of this notice to take the following action to remedy this
breach:
………………………………………………………...……...……………………
………………………………………………………...……...……………………
………………………………………………………...……...……………………
………………………………………………………...……...……………………
………………………………………………………...……...……………………
Dated on ………………………….....
..………….......................................................
Land Administrator
District ………………………………………
SCHEDULE OF LAND AND OF CONDITION
*Town/Village/Mukim ……………………*Lot /L.O. No. ………………………...
Description and No. of Title ………………………Area …………………...............
Condition Breached: ……………………………………………….………...............
…………………………………………...………………………………..................
……………………………………………...……………………………..................
………………………………………………...…………………………..................
…………………………………………………...………………………..................
……………………………………………………...……………………..................
*Delete as appropriate
National Land Code 29
National Land Code
Form 7B
[Section 129]
BREACH OF CONDITION: NOTICE TO SHOW CAUSE
To .............................................................................................................................
of ............................................................................................................... ...............
proprietor of the land scheduled below.
Whereas I the undersigned am satisfied that a breach of the condition scheduled
below has arisen in that ……………………………………………………….…..
…………………………………………………………………………………...…..
…………………………………………………………………………………...…..
…………………………………………………………………………………...…..
(Here describe the nature of the breach)
And whereas—
*(a) I am of the opinion that the taking of action under section 128 of the
National Land Code would not be appropriate.
*(b) You have failed to comply with the notice served on you under section
128 of the National Land Code requiring you to remedy the breach.
Now therefore, in exercise of the powers conferred by section 129 of the National
Land Code, I hereby require you to appear before me on …………… at ………….
hours at …………… to show cause why I should not forthwith declare the land
forfeit to the State.
Dated on ………………………….....
…………….........................................
Land Administrator
District ………………………………
SCHEDULE OF LAND AND OF CONDITION
*Town/Village/Mukim ………………..…*Lot /L.O. No. ………………………….
Description and No. of Title ………………………Area ……………………….….
Condition Breached: …………………………………………………………………
…………………………………………………………………………………….....
…………………………………………………………………………….……...….
……………………………………………………………………..…………..….…
…………………………………………………………………………………...…..
National Land Code 30
SUPPLEMENT
To .........................................................................................……..…………..……
of .................................................................................................................... ..........
*Chargee/Lessee/Sublessee/Tenant/Lienholder/Caveator/Easement Holder.
Take notice that if you wish to submit proposals whereby the above breach may
be remedied you should appear at the time and place specified to show cause why
the land be not declared forfeit.
Dated on ………………………….....
..….......................................................
Land Administrator
District ………………………………
*Delete as appropriate
National Land Code
Form 7C
[Section 124]
MEMORANDUM OF VARIATION OF CONDITIONS,
RESTRICTIONS AND CATEGORIES
On the application of ……………… *proprietor/ co-proprietors of the land held
under Title No. ………………………………….. Lot No. …………………………
*Town/Village/Mukim …………...…………... District …………………………..
covering an area of ……………………… *hectares/square metres, the State
Authority has approved—
*(i) the variation of category of land use from …………… to ……………..
*(ii) the imposition of category of land use ……………………………………
*(iii) the rescission of express condition:
………………………………………………………………………...…
*(iv) the rescission of the expression “Padi”, “Rubber”, “Kampung”, etc.
………………………………………………………………..…….……
*(v) the amendment of express conditions as follows:
……………………………………………………………..……………
*(vi) the imposition of new express conditions:
……………………………………………………………………………
National Land Code 31
*(vii) the rescission of restriction in interest:
……………………………………………………………………………
*(viii) the amendment of restriction in interest as follows:
………………………………………………………………………..………
*(ix) the imposition of new restriction in interest:
……………………………………………………………………………
subject to the payment of …………………….. ringgit and the reservation of a new
rent of …………………………… ringgit.
I, ……………………… the Land Administrator, having received the payment
as indicated in Form 7g hereby request that *endorsement/cancellation/entry be
made on the document of title in accordance with the above approval.
Dated on …………………………. …………….….……………………..
(L.S.) Land Administrator
District ……………………………..
FOR USE BY REGISTRAR/LAND ADMINISTRATOR
*Endorsement/cancellation/entry has been made on the register document of
title on …….………………
………………………………………
Registrar/Land Administrator
*Delete as appropriate
National Land Code 32
National Land Code
Form 7D
[Section 124A]
APPLICATION FOR VARIATION OF CONDITIONS,
RESTRICTIONS AND CATEGORIES IN RESPECT OF
PROPOSED SUBDIVISIONAL PORTIONS OF LAND
To the Land Administrator, District of …………………………………………….
*I/We, the undersigned *proprietor/co-proprietors of following land:
*Town/Village/Mukim …………………….Lot No. ………………………...
Description and No. of Title ………………….Area ………………………..……
hereby apply for approval for variation of *condition/restriction/category of the
proposed subdivisional portions thereof as shown in the proposed subdivisional plan
attached.
For purposes of clarification *I/we also attach an explanatory memorandum.
2. As required, *I/we now submit—
(a) the prescribed fee of ………………. ringgit;
(b) the proposed subdivision plan referred to above together with
………………………... copies thereof;
*(c) a copy of the approval of the Planning Authority;
(d) a letter of consent from each of the following persons (being persons
whose consent is required under subsection 124(1) and paragraph
136(1)(e)), the particular reason for the consent being specified in each
such letter:
(1) …………………………………..……...…….………….………
(2) ……………………………………...………...……………….…
(3) ………………...…………………………………...….....………
3. I hereby declare that, as shown on the attached plan, a satisfactory means of
access to each subdivisional portion (other than any portion from which there will
be direct access to a road, a river, a part of the foreshore or a railway station, or to a
point within the land from which such a means of access is capable of being obtained
by application for a Land Administrator’s right of way) is to be provided—
*(i) by private road to which a separate title is to be issued;
*(ii) over land which is to be treated as surrendered to the State Authority;
*(iii) by a right of way to be declared by the Land Administrator.
*4. With respect to the land to be treated as surrendered in accordance with
subparagraph (ii) above, I hereby undertake to make up a road to the standard
specified by the State Authority.
[For use only where the land is affected by a designation made by the State Authority
under subsection 136(2) of the National Land Code].
National Land Code 33
Dated on ………………………….....
…………………………….
Signature of Proprietor
For Official Use Only
(A) Rent for the current year paid.
…………………………….
Land Administrator
(B) (1) Subdivision as in attached plan approved. For use only
where
(2) One copy of the said plan retained. planning
approval not
……………………………. earlier
Signature obtained
Planning Authority………………..
………………..
(C) (1) Subdivision approved* subject to the following modifications:
................................................................................................................
................................................................................................................
................................................................................................................
(2) Variation of *condition/restriction/category of proposed
subdivisional portions approved.
Dated on ………………………….....
….…….……………………….
Director/Land Administrator
*Delete as appropriate
National Land Code 34
National Land Code
Form 7E
[Paragraph 127(1A)(a)]
BREACH OF CONDITION:
NOTICE TO SHOW CAUSE FOR IMPOSITION OF FINE
To ………………………………………………………………………………...….
of …………………………………………………………………………………….
proprietor of the land scheduled below.
Whereas I, the undersigned, am satisfied that a breach of the condition
scheduled below has arisen in that—
……………………….…………………………………………………………….
……………………………………………………………………………………..
……………………………………………………………………………………..
……………………………………………………………………………………..
(Here describe the nature of the breach)
Now therefore, in exercise of the powers conferred by paragraph 127(1a)(a) of the
National Land Code, I hereby require you to appear before me on ..........................
at …………….. hours at ………………… to show cause why a fine should not be
imposed on you in respect of the above-mentioned breach.
Dated on ………………………….....
………………………………………
Land Administrator
District ……………………………..
SCHEDULE OF LAND AND OF CONDITION
*Town/Village/Mukim …………………… *Lot/L.O. No. ……………………….
Description and No. of Title …………………….Area ………..…………………..
Condition Breached: …………………………………………………………………
………………………………………………………………………………………..
……………………………………………………………………………………..
*Delete as appropriate
National Land Code 35
National Land Code
Form 7F
[Subsection 127(1C)]
CONTINUING BREACH OF CONDITION:
NOTICE OF INTENTION TO SECURE REMEDY OF BREACH
OR TO ENFORCE FORFEITURE OF THE LAND
To ……………….…………………………………………………………….
of ………………………………………………………………..……….…………
proprietor of the land scheduled below.
Whereas I, the undersigned, am satisfied that a breach of the condition
scheduled below has arisen in that—
…………………………………………………………………………..…………..
…………………………………………………………………………..…………..
……………………………………………………………………………..………..
……………………………………………………………………………….……...
(Here describe the nature of the breach)
And whereas I, after due enquiry, am satisfied that the above-mentioned breach
continues:
And whereas I, after a notice in Form 7E dated ………… did, on …………...
impose on you a fine of …………………. ringgit in respect of the above-mentioned
breach, and in the case of the breach continuing, a further fine of
…………………………… ringgit for each day during which the breach continues:
Now therefore, in exercise of the powers conferred on me by subsection 127(1C)
of the National Land Code, I hereby inform you of my intention to take action under
section 128 to secure remedy of the above-mentioned breach or under section 129
to enforce forfeiture of the land scheduled below, upon the expiry of a period of six
months from the date of service of this notice, or at any time thereafter.
Dated on ………………………….....
………………………………………
Land Administrator
District ……………………………..
SCHEDULE OF LAND AND OF CONDITION
*Town/Village/Mukim …………………… *Lot/L.O. No. ………………………
Description and No. of Title …………………… Area …………..………………..
Condition Breached: ………………………………………………………………
……………………………………………………………………………………..
*Delete as appropriate
National Land Code 36
National Land Code
Form 7G
[Section 124]
NOTICE THAT PAYMENT IS DUE
(Variation of conditions/restrictions/categories)
Application No. ………………
To ………………………………………………………………..……………..
of ……………………………………………………………………………………
*proprietor/co-proprietors of the land held under—
Title No. ………………………………………………..…………………..
Lot/L.O. No. …………………..……………………………….………….
*Town/Village/Mukim …………………… District of ……………….…
Take notice that your application under section 124 of the National Land Code
for variation of *conditions/restrictions/categories in respect of the above land has
been approved and you are hereby required within a period of …………………….
months from the date of service of this notice to pay at the Land Office of this district
the following sums:
Further premium = RM
Other charges = RM
New rent = RM
= RM
Total
Take further notice that if the above total is not paid in full within the time
specified, then by virtue of section 124 of the National Land Code, the approval of
your application will lapse.
Dated on ………………………….....
…..…………………………...
Land Administrator
District …...…………………
*Delete as appropriate
National Land Code 37
National Land Code
Form 8A
[Section 130]
NOTICE OF REVERSION TO THE STATE
Whereas, pursuant to section *100/129 of the National Land Code, the land
scheduled below has by order been declared forfeit to the State Authority.
Notice is hereby given that such forfeiture has this day taken effect and that, in
consequence of its vesting in the State Authority—
(a) any title or interest in the land heretofore subsisting or capable of
arising is extinguished; and
(b) the issue document of title to the land is void and is impoundable by
the State.
Dated on ………………………….....
...….......................................................
Land Administrator
District ………………………………
SCHEDULE OF FORFEITED LAND
*Town/Village or Mukim *Lot/L.O. No. Area Description and No. of Title
*Delete as appropriate
National Land Code 38
National Land Code
Form 9A
[Section 137]
APPLICATION FOR SUBDIVISION OF LAND
To the Land Administrator, District of ………………………………...…………
I, ………………………………………………………………………………
of ………………………………………………………..…………………………
proprietor of the following land:
*Town/Village/Mukim ………………………Lot No. ………………………
Description and No. of Title ………………………Area …………………....
hereby apply for approval of the subdivision of the land into ……………… portions,
as indicated in the attached plan of intended subdivision.
*For the purposes of clarification I also attach an explanatory memorandum.
2. As required by section 137 of the National Land Code I now submit—
(a) the prescribed fee of ……………… ringgit;
(b) the plan above referred to together with …………………..copies
thereof;
*(c) a copy of the approval of the Planning Authority;
*(d) a letter of consent from each of the following …………………
persons (being persons whose consent in writing is required for the
particular reason specified in each such letter)†:
(1) ..........................................................................................................
(2) ..........................................................................................................
(3) ..........................................................................................................
3. I hereby declare that, as shown on the attached plan, a satisfactory means of
access to each subdivisional portion (other than any portion from which there will
be direct access to a road, a river, a part of the foreshore or a railway station, or to a
point within the land from which such a means of access is capable of being obtained
by application for a Land Administrator’s right of way) is to be provided—
*(i) by private road to which a separate title is to be issued;
*(ii) over land which is to be treated as surrendered to the State Authority;
*(iii) by a right of way to be declared by the Land Administrator.
*4. With respect to the land to be treated as surrendered in accordance with For use only
subparagraph (ii) above I hereby undertake to make up a road to the standard where the land
specified by the State Authority. is affected by a
Dated on …………………………..... designation
made by the
……..………………… State Authority
Signature of Proprietor under
subsection
For Official Use Only 136(2) of the
National Land
Code
National Land Code 39
(A) Rent for the current year paid.
..….......................................................
Land Administrator
(B) (1) Subdivision as in attached plan approved. For use only
(2) One copy of the said plan retained. where
planning
…………………………………… approval not
Signature earlier
obtained
Planning Authority …………….………
…………………….
(C) Subdivision approved *subject to the following modifications:
..............................................................................................................................
..............................................................................................................................
...............................................................................................................................
Dated on ……………………….....
…………………….…………………
Director/Land Administrator
*Delete as appropriate
†EXPLAINATORY NOTE—The consent in writing is required of every person or body entitled to the
benefit of—
(i) a lease of the whole or any part of the land other than a part corresponding precisely to one of the
proposed subdivisional portions;
(ii) a charge of the land, or of a lease as specified in (i);
(iii) a lien over the land, or over a lease as specified in (i).
National Land Code 40
National Land Code
Form 9B
[Section 142]
APPLICATION TO PARTITION LAND
To the Land Administrator, District of ....................................................................
*I/We, the undersigned, co-proprietor/s of the following land:
*Town/Village/Mukim………………………...Lot No. …………………..........
Description and No. of Title ............................. Area……………………………
hereby apply for approval of the partitioning of the land into ................................
portions, as indicated in the attached plan of intended partition, to vest in the co-
proprietors according to the Schedule below.
*For the purposes of clarification *I/we also attach an explanatory memorandum.
2. As required by section 142 of the National Land Code *I/we now submit—
(a) the prescribed fee of ................................ ringgit;
(b) he plan above referred together with …………………copies thereof;
*(c) a copy of the approval of the Planning Authority;
*(d) a letter of consent from each of the following …………………….. persons
(being persons whose consent in writing is required for the particular
reason specified in each such letter)†:
(1) ................................................................................................................
(2) ................................................................................................................
(3) ................................................................................................................
(e) the consent in writing of every co-proprietor who, not being a signatory to
this application, is indicated by mark “X” in the first column of the
Schedule below.
3. *I/We hereby declare that, as shown on the attached plan, a satisfactory means of
access to each portion (other than any portion from which there will be direct access
to a road, a river, a part of the foreshore or a railway station, or to a point within the
land from which such a means of access is capable of being obtained by application
for a Land Administrator’s right of way) is to be provided—
*(i) over land which is to be treated as surrendered to the State Authority.
*(ii) by a right of way to be declared by the Land Administrator.
*4. With respect to the land to be treated as surrendered in accordance with For use only
subparagraph (i) above I/we hereby undertake to make up a road to the standard where the land
specified by the State Authority. is affected by a
Dated on …………………………..... designation
made by the
..................................................................... State Authority
Signature/s of Co-proprietor/s of the land under
subsection
136(2) of the
National Land
Code
National Land Code 41
SCHEDULE OF PARTITION
Mark “X” to Full name of Address of Co- Registered Area of Symbol on
denote non- each proprietor share in land appropriate Plan for
Portion
signatory Co-proprietor Portion
For Official Use Only
(A) Rent for the current year paid.
…….......................................................
Land Administrator
(B) (1) Partition as in attached plan approved. For use where
planning
(2) One copy of the said plan retained. approval not
earlier obtained
………………………..…......................
Signature
Planning Authority ………………………
...…………………….
(C) Partition approved *subject to the following modifications:
.......................................................................................................................................
.......................................................................................................................................
.......................................................................................................................................
Dated on ………………………….....
…………………………………….
Director/Land Administrator
*Delete as appropriate
†EXPLANATORY NOTE—The consent in writing is required of every person or body entitled to the benefit
of—
(i) a lease of the whole or any part of the land other than a part corresponding precisely to one of the proposed
portions;
(ii) a charge of the land, or of a lease as specified in (i);
(iii) a lien over the land, or over a lease as specified in (i).
National Land Code 42
National Land Code
Form 9C
[Section 148]
APPLICATION FOR AMALGAMATION OF LANDS
To the Land Administrator, District of …………………………..……………………..…
I,………………………………………………………………………………….……
of…………………………………………………………………………………….…..…
proprietor of the lands, being contiguous lots all within the same town, village or mukim,
as scheduled below hereby apply for approval of their amalgamation into a single lot as
indicated in the attached plan of intended amalgamation.
*For the purposes of clarification I also attach an explanatory memorandum.
2. As required by section 148 of the National Land Code I now submit—
(a) the prescribed fee of …………………………… ringgit;
(b) the plan above referred to together with ……………….copies thereof;
*(c) a copy of the approval of the Planning Authority;
*(d) a letter of consent from each of the following …………………… persons (being
persons whose consent in writing is required for the particular reason specified in
each such letter)†:
(1) ........................................................................................................................
(2) ........................................................................................................................
(3) ........................................................................................................................
3. I hereby request that since, as scheduled below—
*(a) certain of the lands are held under Registry title and the remaining lands under
Land Office title;
*(b) the lands are held under Land Office title and amalgamation thereof will result in
a single lot of an area exceeding ten acres,
the special approval of the State Authority be obtained for this amalgamation and for the
issue in respect thereof of a single Registry title.
Dated on ………………………….....
………………………………….
Signature of Proprietor
National Land Code 43
SCHEDULE
*Town/Village/Mukim of …………………………………………............…
Description and No. of Lot No. Area Remarks
Title
For Official Use Only
(A) Rent for the current year paid.
……………………………………….
Land Administrator
(B) (1) Amalgamation as in attached plan approved. For use where
planning
(2) One copy of the said plan retained. approval not
earlier obtained
…………….………..…......................
Signature
Planning Authority ………………………
...…………………….
(C). Amalgamation approved *subject to the following directions of the State Authority:
......................................................................................................................................
......................................................................................................... .............................
......................................................................................................................................
Dated on ………………………….....
………………………………………….
Director/Land Administrator
*Delete as appropriate
†EXPLANATORY NOTE —The consent in writing is required of every person or body entitled to the benefit of—
(i) a lease of the whole or any part of the land;
(ii) a charge of the land, or of a lease as specified in (i);
(iii) a lien over the land, or over a lease as specified in (i).
National Land Code 44
Forms 9D, 10A, 10B & 10C
(Repealed by Act 318)
National Land Code
Form 10D
[Section 168]
NOTICE OF INTENTION TO ISSUE TITLE IN CONTINUATION
(OR NEW ISSUE DOCUMENT IN LIEU THEREOF)
In exercise of the powers conferred by section 168 of the National Land Code,
Notice is hereby given that it is proposed—
*to issue title in continuation
*to replace the issue document of title
to the land described in the Schedule below for the following reasons:
……………………………………………………………………..……………………
…………………………………………………………………………..………………
…………………………………………………………………………………..………
Dated on ………………………….....
………………………………………….
Registrar/Land Administrator
State/District ...........................................
SCHEDULE
*Town/Village/Mukim …………………*Lot/Parcel/L.O. No. …...………..………..…
Description and No. of Title ………………..………Area …………………...…………
*Delete as appropriate
National Land Code 45
National Land Code
Form 10E
[Section 175A]
NOTICE RELATING TO THE PREPARATION OF A
PROVISIONAL REGISTER DOCUMENT OF TITLE
In exercise of the powers conferred by Chapter 4 of Part Ten of the National Land Code,
Notice is hereby given that it is proposed to prepare a provisional register document of
title relating to the land described in the Schedule below for following reasons:
……………………………………………………………………………………………..
……………………………………………………………………………………………..
……………………………………………………………………………………………..
2. Upon publication in the Gazette of this notice, no Registrar or Land Administrator
shall accept for registration any instrument of dealing affecting the land, or enter any private
caveat under section 322 or any lienholder’s caveat under section 330 in respect thereof,
until the entry in the provisional register document of title has been authenticated under
section 175F.
3. Any person or body having interest in the said land may apply within three months
of the publication in the Gazette of this notice to the *Registrar/ Land Administrator in Form
10F that the name of the proprietor/any person having registered or registrable interest be
entered in the provisional register document of title.
4. Any person or body who is in possession of the issue document of title thereto shall
within the said three months, deliver it to the *Registrar/Land Administrator.
Dated on ………………………….....
…………………..………………
Registrar/Land Administrator
State/District ............................................
SCHEDULE
District *Town/Village/ Description and *Lot No./ L.O. Area
Mukim No. of Title No.
*Delete as appropriate
National Land Code 46
National Land Code
Form 10F
[Subsection 175B(1)]
APPLICATION FOR REGISTRATION AS PROPRIETOR OF LAND OR
INTEREST IN PROVISIONAL REGISTER DOCUMENT OF TITLE
To,
The *Registrar/Land Administrator .....................................................................................
I/We ...............................................................................................................................
of ………………………………………………………………………………………...…
hereby apply that the name of ..............................................................................................
be entered in the provisional register document of title to the land described in the Schedule
below—
*(a) as the proprietor *of the whole of the land/or ......................................................
...............................................................................................................................
undivided share of the land;
*(b) as the person having the following registrable interest (state nature and the extent
of such interest):
…………………………………………………………………………………..
…………………………………………………………………………………..
…………………………………………………………………………………..
*2 To the best of my knowledge, the following persons have a registered interest in the
land:
Name and Address Nature and Extent of Interest
(a) ….........................................................................................................................
(b) ….........................................................................................................................
(c) ….........................................................................................................................
(d) ….........................................................................................................................
*3. I attach the issue document of title relating to the said land.
Dated on ………………………….....
….…………………………….
Signature of Applicant
SCHEDULE
District *Town/Village/ Description and *Lot No./ L.O. Area
Mukim No. of Title No.
*Delete as appropriate
National Land Code 47
National Land Code
Form 10G
[Subsection 175B(2)]
RECEIPT FOR ISSUE DOCUMENT OF TITLE
Received from………………………………………………………..……….…………..
of ……………………………………………………………………………..…………..
the undermentioned issue document of title—
Description and No. of Title …………………………………………………………
……………………………………………………………………………………..…
District ………………………………………………………………….……………
Town/Village/Mukim ………………………………………………………………..
Lot No./L.O. No. …………………………………………………………………….
Area …………………………………………………………………...……………..
Dated on ………………………….....
………………………………………….
Registrar/Land Administrator
State/District ...............................................
National Land Code
Form 10H
[Section 175D]
NOTICE THAT THE PROVISIONAL REGISTER DOCUMENT
OF TITLE IS OPEN FOR INSPECTION
Notice is hereby given that the provisional register document of title in respect of lands
described in the Schedule below is now open for inspection at the *Registry/Land Office at
.................. and can be inspected without payment during the normal office hours.
Any person or body who has any interest in the said land may object to any entry therein
or any omission thereof in accordance with section 175E within three months from the date
of publication of this notice in the Gazette.
Dated on ………………………….....
………………………………………..
Registrar/Land Administrator
State/District ............................................
National Land Code 48
SCHEDULE
District *Town/Village/ Description *Lot No./ Area Registered Particulars
Mukim and No. of L.O. No. proprietor of interest, if
Title any
*Delete as appropriate
National Land Code
Form 10I
[Section 175E]
OBJECTION TO AN ENTRY OR OMISSION THEREOF IN
THE PROVISIONAL REGISTER DOCUMENT OF TITLE
To,
The Registrar/Land Administrator ……………………..…………………………………..
I, ……………………………………………………………..….………………………...
of …………………………………………………………….…………………………......
hereby object to the *entry/omission thereof in the provisional register document of title in
respect of land described in the Schedule below, on the following ground:
………………………………………………………………………………….…………..
……………………………………………………………………………………….……..
………………………………………………………………………………………….…..
Dated on ………………………….....
…………………………………..
Signature
SCHEDULE
District *Town/Village/ Description and *Lot No./ L.O. Area
Mukim No. of Title No.
*Delete as appropriate
National Land Code 49
National Land Code
Form 11A
[Section 177]
(Qualified Title Corresponding to Registry Title)
Q.T. REGISTER: District of ………………………No. Q.T. (R) ………………..………
State of ……………………………………
DOCUMENT OF QUALIFIED TITLE
CATEGORY OF LAND USE* AGRICULTURE
BUILDING
INDUSTRY
*Town/Village/Mukim ……………………………………..……………………………….
*Grant in perpetuity L.O. No ………………..……......…
*Lease for term of …………………..years Provisional
Area……………….......
expiring on ……………………… Annual Rent RM …………......…...
Premium RM ………………..…(Ringgit Malaysia ……………………………………….)
Survey Fee RM ……..…………(Ringgit Malaysia ………………....................………….)
R.S. No. …….………………………………………..
File No. …..…………………………………………..
*Within Malay Reservation/Aboriginal Area/Aboriginal Reserve, etc. ……………...……
Gazette Notification No. ……………………………..dated ……………………..………...
SPECIAL CONDITIONS OF QUALIFIED TITLE
1. This title is subject to the provisions of the National Land Code and to the following
express conditions and restrictions:
EXPRESS CONDITIONS
RESTRICTIONS IN INTERESTS
2. In the plan of the land below the boundaries shown in red, not having been
established by survey, are provisional only.
Sketch Plan The land described above is held by the proprietor for the time
being named in the record of proprietorship below—
Registered on ………………..…….
L.S. …..………………
Registrar
Issue document of title, issued on ………..………..
L.S. …..………………
Registrar
To be completed when the title is issued in continuation
National Land Code 50
Date of first alienation .....................................................................................
No. of original title (final or qualified) ...........................................................
No. of immediately preceding title (if different from above) ..........................
RECORD OF PROPRIETORSHIP, OF DEALINGS AND OF
OTHER MATTERS AFFECTING TITLE
(Continued overleaf)
*Delete as appropriate
National Land Code
Form 11B
[Section 177]
(Qualified Title Corresponding to Land Office Title)
Q.T. REGISTER: Mukim of ……………….….No. Q.T. (M) ……………………..……….
State of ……………………………………
DOCUMENT OF QUALIFIED TITLE
CATEGORY OF LAND USE* AGRICULTURE
BUILDING
INDUSTRY
Locality ………………………………………………………………………………….…
*Grant in perpetuity L.O. No ………………………...………..…
*Lease for term of ……………..years Provisional Area…………………..
expiring on …………………… Annual Rent RM ……………….…
Premium RM ………………(Ringgit Malaysia…………………………………….…….)
Survey Fee RM ……………(Ringgit Malaysia…………………………………………...)
R.S. No. …….………………………………………..
File No. …..…………………………………………..
*Within Malay Reservation/Aboriginal Area/Aboriginal Reserve, etc. ..........……….…..
Gazette Notification No. …………..…………………….dated ………………………….
SPECIAL CONDITIONS OF QUALIFIED TITLE
1. This title is subject to the provisions of the National Land Code and to the following
express conditions and restrictions:
EXPRESS CONDITIONS
RESTRICTIONS IN INTERESTS
National Land Code 51
2. In the plan of the land below the boundaries shown in red, not having been
established by survey, are provisional only.
Sketch Plan The land described above is held by the proprietor for the time
being named in the record of proprietorship below—
Registered on ………………..
L.S. …..………………
Registrar
Issue document of title, issued on ………...…….…
L.S. …..………………
Registrar
To be completed when the title is issued in continuation
Date of first alienation ……………………………………………………………….…….
No. of original title (final or qualified) ……………………………………………….……
No. of immediately preceding title (if different from above) …………………..……….…
RECORD OF PROPRIETORSHIP, OF DEALINGS AND OF
OTHER MATTERS AFFECTING TITLE
(Continued overleaf)
*Delete as appropriate
National Land Code
Form 11C
[Section 187B]
NOTICE OF INTENTION TO ISSUE NEW ISSUE
DOCUMENT OF QUALIFIED TITLE
In exercise of the powers conferred by section 187B of the National Land Code.
Notice is hereby given that it is proposed to replace the issue document of qualified
title to the land described in the Schedule below for the following reasons:
………………………………………………………………………………………….…..
……………………………………………………………………………………….……..
………………………………………………………………………………………….…..
Dated on ………………………….....
………………………………………..
Registrar/Land Administrator
State/District ............................................
National Land Code 52
SCHEDULE
*Town/Village/Mukim ………………………………………………….………………
*Lot/L.O. No. ……..…………………………………………………...…….………….
Description and No. of Title …………………………………………………….………
……………………………………………………………………………………….......
Area ………………………………………………………………………………….….
*Delete as appropriate
National Land Code
Form 12A
[Section 197]
APPLICATION FOR SURRENDER OF LAND
(Relating to the whole of the land)
To the Land Administrator, District of ………………………………………………….…
I, ………………………………………………………………..………...……………
of ………………………………………………………….……………..…………………
proprietor of the following land:
*Town/Village/Mukim …………….………*Lot/L.O. No. ………..…..….…………
Description and No. of Title ………………...…..Area..…………….….……..…………..
hereby apply for approval of my surrender of the whole thereof.
2. As required by section 197 of the National Land Code I now submit—
(a) the prescribed fee of ………………….. ringgit;
(b) a letter of consent from each of the following …………………persons (being
persons whose consent in writing is required for the particular reason specified
in each such letter)†:
(1) .................................................................................................
(2) .................................................................................................
(3) .................................................................................................
(c) *the issue document of title to the land;
(d) *a copy of my request to ……………………………….*chargee/lienholder
to produce the issue document of title to the land at the Land Office.
Dated on ………………………….....
………………………………………..
Signature of Proprietor
[Attestation Clause]
For Official Use Only
National Land Code 53
(A) Rent for the current year paid. ……………………………………….
Land Administrator
(B) Surrender approved.
Dated on …………………………..... ………….…………………..
Director/Land Administrator
*Delete as appropriate
†EXPLANATORY NOTE —The consent in writing is required of every person—
(i) entitled to the benefit of any registered interest affecting the land or any part of the land (including a charge
of any lease or sublease thereof);
(ii) entitled to the benefit of a lien over the land or over any lease or sublease of the land or any part thereof;
(iii) entitled to the benefit of a tenancy exempt from registration affecting the land or any part thereof (being a
tenancy protected by endorsement on the register document of title); and
(iv) having a claim protected by caveat to any interest affecting the land or any part thereof.
National Land Code
Form 12B
[Section 200]
APPLICATION FOR SURRENDER OF LAND
(Relating to a part only of the land)
To the Land Administrator, District of ................................................................................
I,.....................................................................................................................................
of................................................................................................................ ...........................
proprietor of the following land:
*Town/Village/Mukim ................................. *Lot/L.O. No. .......................................
Description and No. of Title ........................... Area ...................................................
hereby apply for approval of my surrender of a part of the land as shown in the attached
plan.
2. I hereby declare that this part of the land is *used/intended to be used for the
following:
............................................................................................................................................
............................................................................................................................................
National Land Code 54
*For the purposes of further clarification I also attach an explanatory memorandum.
3. As required by section 200 of the National Land Code I now submit—
(a) the prescribed fee of …………… ringgit;
(b) the plan above referred to together with ………..copies thereof;
(c) a letter of consent from each of the following………………. persons (being
persons whose consent in writing is required for the particular reason specified
in each such letter)†:
(1) ....................................................................................................................
(2) ....................................................................................................................
(3) ....................................................................................................................
(d) *the issue document of title to the land
*a copy of my request to ……………………………………………..……..
*chargee/lienholder to produce the issue document of title to the land at the
Land Office.
Dated on ………………………….....
………………………………………..
Signature of Proprietor
[Attestation Clause]
For Official Use Only
(A) (1) Rent for the current year paid.
(2) (Deleted by Act A832).
(3) The area of that part is not, in my opinion, such that a subdivision of the land
should be first effected.
……………………………………….
Land Administrator
(B) Surrender approved.
Dated on ………………………….....
………………………………………..
Director/Land Administrator
*Delete as appropriate
†EXPLANATORY NOTE —The consent in writing is required of every person—
(i) entitled to the benefit of any registered interest affecting the part of the land to be surrendered (including a
charge of any lease or sublease thereof);
(ii) entitled to the benefit of a lien over the land or over any lease or sublease of the land or of the part of the
land to be surrendered;
(iii) entitled to the benefit of a tenancy exempt from registration affecting the part of the land to be surrendered
(being a tenancy protected by a registered endorsement); and
(iv) having a claim protected by a caveat to any interest affecting the part of the land to be surrendered.
National Land Code 55
National Land Code
Form 12C
[Section 203]
APPLICATION FOR SURRENDER AND RE-ALIENATION
To the Land Administrator, District of ................................................................................
I,................................................................................... ...................................................
of................................................................................................................... .........................
proprietor of the land scheduled below (being contiguous lots all under Land Office title
and of a combined area exceeding ten acres) hereby apply for approval of my surrender of
these lots on the terms that the land comprised therein be immediately re-alienated to me
under qualified title in the different units, each being of less than ten acres, shown on the
attached plan.
In the said plan, the boundaries of the existing lots as scheduled are shown in black and
the boundaries of the proposed new units, where different from the old, are shown in red.
2. As required by section 203 of the National Land Code I now submit—
(a) the prescribed fee of ………………………. ringgit;
(b) a letter of consent from each of the following ………………….persons (being
persons whose consent in writing is required for the particular reason specified
in each such letter)†:
(1) ...................................................................................................................
(2) ...................................................................................................................
(3) ...................................................................................................................
(c) *the issue document/s of title to the following land/s:
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
(d) *a copy of my request/s to—
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
(chargee/s or lienholder/s, as specified) to produce at the Land Office the issue
document/s of title to the land/s, the issue document/s to which is/are not now
attached.
Dated on ………………………….....
………………………………………..
Signature of Proprietor
National Land Code 56
District *Town/Village/ SCHEDULE *Lot No./ Area
Mukim L.O. No.
Description and
No. of Title
*Delete as appropriate
For Official Use Only
(A) Rents for the current year paid.
……………………………………….
Land Administrator
(B) Surrender approved.
Dated on ………………………….....
………………………………………..
Director/Land Administrator
*Delete as appropriate
†EXPLANATORY NOTE —The consent in writing is required of every person—
(i) entitled to the benefit of a lien over any of the lands or any part thereof;
(ii) having a claim protected by caveat affecting any of the lands or any part thereof.
National Land Code
Form 12D
[Section 204D]
APPLICATION FOR SURRENDER AND RE-ALIENATION
To the Land Administrator, District of ...................................................................................
*I/We.......................................................................... ......................................................
of................................................................................................................... proprie tor of the
land/s scheduled below, hereby apply for approval of *my/ our surrender of these lands on
the terms that the land comprised therein be immediately re-alienated to *me/us in the
different units as shown on the attached plan.
National Land Code 57
In the said plan, the boundaries of the existing lands as scheduled are shown in black
and the boundaries of the proposed new units, different from the old, are shown in red†.
2. As required by section 204d of the National Land Code, *I/we now submit—
(a) the prescribed fee of ……………………. ringgit;
(b) a letter of consent from the following persons†:
(i) ………………………………………..………………………………...
(ii) ………………………………………………...……………...………...
(c) *the issue document/s of title to the following land/s:
………………………………………………………………………….……
(d) *the sworn statement under subsection 204d(2).
………………………………………………………………………..……..
3. *I/We hereby apply for the land/s (originally alienated in perpetuity) to be re-
alienated to *me/us for a term of…….years and hereby accompany a sworn statement to
that effect.
Dated on ………………………….....
………………………………………..
Signature of Proprietor
SCHEDULE
District *Town/Village/ Description and *Lot No./ L.O. Area
Mukim No. of Title No.
*Delete as appropriate
For Official Use Only
(A) Rents for the current year paid.
……………..………………
Land Administrator
District …………………………..
(B) Surrender approved.
Dated on ………………………….....
………………………………………..
Director/Land Administrator
*Delete as appropriate
†EXPLANATORY NOTE —
(a) If applicable, the adjoining State land included in the application is marked in red.
(b) The consent in writing is required of every person—
(i) entitled to the benefit of a lien over any of the lands or part thereof;
(ii) having a claim protected by caveat affecting any of the lands or part thereof.
National Land Code 58
National Land Code
Form 13A
[Section 207]
HEADING AND SCHEDULE
(FOR INSERTION IN ALL FORMS OF DEALING)
(1) HEADING
(Stamps to be affixed—or payment of duty certified—in this space)
FOR REGISTRY USE
Memorial of registration made in the register File of—
Document/s of Title scheduled below, with effect .....................................
from………..h …………..m on ………...…… 20….. Volume..........................
L.S. Registrar/Land Administrator ….................. Folio...............................
Presentation No.—
State/District ............................................... ....................................
(2) 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/ Description Share of Registered Registered
Village/ Parcel/ No. of
Mukim L.O. No. and No. of land No. of Charge
Title (if any) *lease/ (if any)
(1) (2) sublease
(if any) (6)
(3) (4) (5)
*Delete as appropriate
National Land Code 59
National Land Code
Form 13B
[Section 211]
FORM OF ATTESTATION CLAUSE
I,…........................................................................................... ........................................
................................................................................................................................................
(Here insert full name and qualification of person attesting)
hereby testify that the above *signature/thumb print was *written/affixed in my presence
this............................................. and is the true *signature/thumb print of—
................................................................................................................................................
(Here insert name of person executing or the expression “the person named above”)
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................................................
.........................................
Signature
*Delete as appropriate
National Land Code
Form 14A
[Sections 215, 217, 218]
TRANSFER OF LAND, SHARE OR LEASE
[Heading]
I,........................................................................................ ...............................................
of....................................................................................................................... ......................
*proprietor of the *land/undivided share in the land—
*lessee/sublessee under the *lease/sublease—
described in the Schedule below—
*(a) In consideration of the sum of ........................................ ringgit the receipt of
which sum I hereby acknowledge;
*(b) In consideration of—
............................................................................................................................
............................................................................................................................
............................................................................................................................
(Here state the consideration (if other than money) and from whom it moves)
National Land Code 60
*(c) For no consideration,
hereby transfer to the transferee(s) named below, all such title or interest as is vested in me.
Dated on ………………………….....
................................................................
Signature (or other form of execution)
by or on behalf of transferor
[Attestation Clause]
I,......................................................................................................................................
of ...........................................................................................................................................
accept this transfer.
We, ................................................................................................................................
...............................................................................................................................................
...............................................................................................................................................
accept this transfer of the undivided shares in the land as stated against our names below—
Names of transferees Address Shares of land
................................................................
Signature (or other form of execution)
by or on behalf of transferees
[Attestation Clause]
[Schedule]
*Delete as appropriate
National Land Code 61
National Land Code
Form 14B
[Section 218]
TRANSFER OF CHARGE
[Heading]
I,.......................................................................................................... ...........................
of………...............................................................................................................................
chargee, under the charge described in the Schedule below of the *land/lease/ sublease so
described;
*(a) In consideration of the sum of .................................... ringgit the receipt of which
sum I hereby acknowledge;
*(b) In consideration of—
..............................................................................................................
..............................................................................................................
..............................................................................................................
(Here state the consideration (if other than money) and from whom it moves)
*(c) For no consideration,
hereby transfer to the transferee named below, all such title or interest as is vested in me.
Dated on ………………………….....
.................................................................
Signature (or other form of execution)
by or on behalf of transferor
[Attestation Clause]
I,............................................................................................................... ........................
of ............................................................................................................................................
accept this transfer.
.................................................................
Signature (or other form of execution)
by or on behalf of transferee
[Attestation Clause]
[Schedule]
*Delete as appropriate
Form 14C
(Nil)
National Land Code 62
National Land Code
Form 14D
[Section 214A]
APPLICATION FOR A CERTIFICATE OF APPROVAL OF
TRANSFER, CONVEYANCE OR DISPOSAL OF ESTATE LAND
To,
The Secretary,
Estate Land Board,
State of............................................
I/We,……………………………………………………….……………...................
of…………………...................................................................... .......................................
proprietor of the following land:
*Town/Village/Mukim.............................................. Lot No. ..................................
Description and No. of Title ..................................... Area .......................................
hereby apply for a Certificate of Approval of Transfer, Conveyance or Disposal of the land
to ..........................persons, as indicated in the attached plan.
2. †I/We append below the following information:
(a) The purpose of Transfer, Conveyance or Disposal ...................................
....................................................................................................................
(b) Names and Addresses of intended transferees, purchasers, etc. ……........
.....................................................................................................................
(c) The age of the trees ....................................................................................
.....................................................................................................................
(d) Total number of existing staff ....................................................................
.....................................................................................................................
(e) Total number of existing labourers …........................................................
………………………………………………………………………….…
(f) Total number of staff living on the Estate…………………….…………..
....................................................................................................................
(g) Total units of labour lines ……………......................................................
.....................................................................................................................
(h) Total number of labourers living on the Estate ..........................................
………………………………………………………………..
(i) Current educational facilities for employees ..............................................
.....................................................................................................................
(j) Current medical facilities for employees …………………………………
.....................................................................................................................
(k) Other facilities …………………………………………………………...
.....................................................................................................................
(l) If workers are being retrenched what amount of gratuity is being paid to
each worker …………………………………...……………………….…
.....................................................................................................................
National Land Code 63
3. †The nature of possible effects resulting from the Transfer, Conveyance or Disposal
of the land on—
(i) The existing employees …………………………………………………….
........................................................................................................................
(ii) The unemployment problems ………………………………………...……
.......................................................................................................................
(iii) Existing educational, medical and other facilities ….……...........................
.......................................................................................................................
(iv) Any other relevant information ……………………………………………..
........................................................................................................................
4. I/We hereby certify that the above information is correct.
........................................ .......................................
Signature of transferees, Signature of Proprietor
purchasers, etc.
*Delete as appropriate
†Brief notes under each heading
National Land Code
Form 15A
[Section 221]
LEASE OF LAND
[Heading]
I,.......................................................................................................................................
of ................................................................................................................ ............................
proprietor of the land described in the Schedule below, hereby lease to the lessee named
below—
*the whole of the land.
*that part of the land specified in the plan and description attached.
2. The term of this lease is—
*(a) for the fixed period of .............. years beginning on ……………………
and terminating on …………...............
*(b) from .....................† to..................† beginning on ………………….…..
(†Here enter “month”, “quarter”, “year” etc., as the case may be)
3. This lease is subject to the provisions of the National Land Code and, more
particularly, to those of Part Fifteen thereof and to all the express provisions annexed hereto.
Dated on ………………………….....
...............................................................
Signature (or other form of execution)
by or on behalf of lessor
National Land Code 64
[Attestation Clause]
I, ...……………………………………………………………………………...……...
of ...........................................................................................................................................
hereby accept this lease.
..............................................................
Signature (or other form of execution)
by or on behalf of lessee
[Attestation Clause]
*I,.................................................................................... ........................................................ To be
of ............................................................................................................................................ completed
chargee of the land by virtue of Charge Registered No. ....................................................... only where
hereby consent to the granting of this lease. the land is
under charge
Dated on …………………………..... and where
consent to
.............................................................. this lease is
Signature (or other form of execution) not included
in the
by or on behalf of chargee instrument of
charge
[Attestation Clause]
[Schedule]
ANNEXURE
The express provisions to which this lease is subject—
………………………................................................................................ ............................
……………………….................................................................................... ........................
(Continuation Sheets to be added as required)
*Delete as appropriate
National Land Code
Form 15B
[Section 222]
SUBLEASE OF LAND
[Heading]
I,............................................................................................... ........................................
of ............................................................................................................................................
*lessee/sublessee under the *lease/sublease described in the Schedule below of *the
whole/a part of the land so described;
National Land Code 65
hereby sublease to the sublessee named below—
*the whole of the land comprised in such *lease/sublease.
*such part of the land comprised in such *lease/sublease as is specified in the plan
and description attached.
2. The term of this sublease is—
*(a) for the fixed period of ....................... years beginning on …………….…
and terminating on ……..…….............
*(b) from ………..……......† to ………...................† beginning on ……………
(†Here enter “month”, “quarter”, “year” etc., as the case may be)
3. This sublease is subject to the provisions of the National Land Code and, more
particularly, to those of Part Fifteen thereof and to all the express provisions annexed hereto.
Dated on ………………………….....
..............................................................
Signature (or other form of execution)
by or on behalf of *lessee/sublessee
[Attestation Clause]
I,.................................................................................... ...................................................
of.................................................................................................................... .........................
hereby accept this lease.
..............................................................
Signature (or other form of execution)
by or on behalf of sublessee
[Attestation Clause]
I,....................................................................................................................................... To be
of ............................................................................................................................................ completed only
where the
chargee of the *lease/sublease above referred to by virtue of Charge Registered No. scheduled lease
.......................... hereby consent to the granting of this sublease. or sublease is
Dated on …………………………..... under charge
and where
.............................................................. consent to this
sublease is not
Signature (or other form of execution) included in the
by or on behalf of chargee instrument of
charge
[Attestation Clause]
[Schedule]
ANNEXURE
The express provisions to which this sublease is subject—
.............................................................................................................................................
.............................................................................................................................................
(Continuation Sheets to be added as required)
*Delete as appropriate
National Land Code 66
National Land Code
Form 15C
[Section 239]
SURRENDER OF LEASE
[Heading]
I, ....................................................................................................................................
of ..........................................................................................................................................
*lessee/sublessee under the *lease/sublease described in the Schedule below of the land so
described;
hereby surrender the same to the *person/body entitled to the reversion thereon as named
below.
Dated on ………………………….....
...............................................................
Signature (or other form of execution)
by or on behalf of *lessee/sublessee
[Attestation Clause]
I, ......................................................................................................................................
of ............................................................................................................................................
being entitled to the reversion on the *lease/sublease above referred to accept this surrender.
Dated on ………………………….....
..............................................................
Signature (or other form of execution)
by or on behalf of *proprietor/
superior lessee/sublessee
[Attestation Clause]
*I, .................................................................................................................................. To be
of .......................................................................................................................................... completed
chargee, under Charge Registered No. ..............................., of the *lease/sublease above where the
referred to hereby consent to its surrender. lease or
sublease is
Dated on …………………………..... under charge
..............................................................
Signature (or other form of execution)
by or on behalf of charge
National Land Code 67
[Attestation Clause]
*I, ..................................................................................................................................... To be
of ........................................................................................................................................... completed
chargee, under Charge Registered No. ……............, the reversion on the *lease/sublease only where
above referred to hereby consent to its surrender. the reversion
on the lease
Dated on …………………………..... or sublease is
under charge
..............................................................
Signature (or other form of execution)
by or on behalf of chargee
[Attestation Clause]
[Schedule]
*Delete as appropriate
National Land Code
Form 16A
[Section 242]
CHARGE
(To secure payment of a principal sum)
[Heading]
I, ...................................................................................................................................
of .......................................................................................................................... ...............
*proprietor of the land/undivided share in the land described in the Schedule below;
*lessee/sublessee under the *lease/sublease described in the Schedule below of the land so
described;
For the purpose of securing—
*(a) the repayment to the chargee named below, *with/without interest, of a loan
of ...................... ringgit, the receipt of which I hereby acknowledge;
*(b) the payment to the chargee named below, *with/without interest, and in
consideration of—
..........................................................................................................................
...........................................................................................................................
of the sum of ............................. ringgit;
*(c) the payment to the chargee named below, *with/without interest, of the sum
from time to time due to him on *my current account/the following account
kept between us,
National Land Code 68
hereby charge the said *land/the undivided share in the land/lease/sublease with the
payment to him of the said sum and interest thereon, if any, in accordance with the
provisions annexed hereto.
Dated on ………………………….....
................................................................
Signature (or other form of execution)
by or on behalf of chargor
[Attestation Clause]
I, ......................................................................................................................................
of ............................................................................................................................................
accept this charge.
….............................................................
Signature (or other form of execution)
by or on behalf of chargee
[Attestation Clause]
[Schedule]
ANNEXURE
(........................................................................)
(Provisions as to payment, rate of interest, if any, etc.)
*Delete as appropriate
National Land Code
Form 16B
[Section 242]
CHARGE
(To secure payment of a periodic sum)
[Heading]
I, ...................................................................................................................................
of .........................................................................................................................................
*proprietor of the land/undivided share in the land described in the Schedule below;
*lessee/sublessee under the *lease/sublease described in the Schedule below of the land so
described;
For the purpose of securing to the chargee named below of the sum of .........................
ringgit *annually/quarterly/monthly/............................†;
(†Here insert period if other than those specified)
National Land Code 69
And in consideration of—
...............................................................................................................................................
...............................................................................................................................................
hereby charge the said *land/the undivided share in the land/lease/sublease with such
payment in accordance with the provisions annexed hereto.
Dated on ………………………….....
.................................................................
Signature (or other form of execution)
by or on behalf of chargor
[Attestation Clause]
I, ............................................................................................................ .........................
of ...........................................................................................................................................
accept this charge.
................................................................
Signature (or other form of execution)
by or on behalf of chargee
[Attestation Clause]
[Schedule]
ANNEXURE
(........................................................................)
(Provisions as to payment, rate of interest, if any, etc.)
*Delete as appropriate
National Land Code
Form 16C
[Section 247]
POSTPONEMENT OF A CHARGE
[Heading]
I, .....................................................................................................................................
of ...........................................................................................................................................
chargee under the charge described in the Schedule below of the *land/ undivided share in
the land/lease/sublease so described;
hereby postpone this charge so that in priority it shall rank immediately after Charge
Registered No. ...............................
Dated on ………………………….....
...............................................................
Signature (or other form of execution)
by or on behalf of chargee
National Land Code 70
[Attestation Clause]
[Schedule]
*Delete as appropriate
National Land Code
Form 16D
[Section 254]
NOTICE OF DEFAULT WITH RESPECT TO A CHARGE
To ...................................................................................................................................
of ...........................................................................................................................................
chargor under the charge described in the Schedule below of the *land/ undivided share in
the land/lease/sublease so described.
Whereas you have committed a breach of the provisions of this charge by—
.............................................................................................................. ...............................
.............................................................................................................................................
.............................................................................................................................................
(Here specify the breach in question)
And whereas the breach has continued for a period of at least, one
month/†..................................... prior to the date of this notice;
(†Here insert period specified in charge, if different)
I, as chargee, by virtue of the powers conferred by section 254 of the National Land
Code, hereby require you within the period of, one month/†............ from the service of this
notice to remedy the breach;
(†Here insert period specified in charge, if different)
And take notice that if you fail to remedy the breach within that period, I shall apply
for an order of sale.
Dated on ………………………….....
................................................................
Signature (or other form of execution)
by or on behalf of chargee
SCHEDULE OF LAND *AND INTEREST
[as in Form 13A]
*Delete as appropriate
National Land Code 71
National Land Code
Form 16E
[Section 255]
DEMAND FOR PAYMENT OF A PRINCIPAL SUM
[Heading]
To ...................................................................................................................................
of ...........................................................................................................................................
chargor under the charge described in the Schedule below of the *land/ undivided share in
the land/lease/sublease so described.
Whereas the principal sum secured by the charge amounts to ....................... ringgit and
is payable on demand;
I, as chargee, by virtue of the powers conferred by section 255 of the National Land
Code, hereby require payment of that sum forthwith;
And take notice that, if the sum is not paid within one month of the service of this
notice, I shall apply for an order of sale.
Dated on ………………………….....
….............................................................
Signature (or other form of execution)
by or on behalf of chargee
SCHEDULE OF LAND *AND INTEREST
[as in Form 13A]
*Delete as appropriate
National Land Code
Form 16F
[Section 259]
CERTIFICATE OF SALE BY COURT
[Heading]
I, ......................................................................................................................................
……………………………………………………………………...………………..……...
(Here insert name and office)
in exercise of the powers conferred by section 259 of the National Land Code, hereby certify
that the *land/undivided share in the land/lease/sublease described in the Schedule below
has, for the sum of ................................ ringgit, (the receipt of which is hereby
acknowledged) been sold to—
...............................................................................................................................................
of ............................................................................................................. ..............................
National Land Code 72
pursuant to an order of the Court under section 256 of the National Land Code, made on
the application of the chargee under Charge Registered No. .....................
The *issue document of title to the land/duplicate lease/sublease—
*(a) is now attached;
*(b) has not at any time been deposited with the Court and is not attached.
Dated on ………………………….....
L.S ..............................................................
Officer of the Court
[Schedule]
*Delete as appropriate
National Land Code
Form 16G
[Section 260]
APPLICATION BY CHARGEE FOR ORDER FOR SALE
To the Land Administrator, District of ..................................................................................
I, ............................................................................................................ ..........................
of ............................................................................................................................................
chargee under the charge described in the Schedule below of the *land/ undivided share in
the land/lease/sublease so described;
hereby make application for an order for sale thereof.
I declare that a notice in Form *16D/16E, a copy of which is attached, was served upon
the chargor ............................................................................. of ........................................
on ......................................, and that the chargor has failed to comply with the notice within
the period specified therein.
Dated on ………………………….....
..............................................................
Signature (or other form of execution)
by or on behalf of chargee
SCHEDULE OF LAND *AND INTEREST
[as in Form 13A]
*Delete as appropriate
National Land Code 73
National Land Code
Form 16H
[Sections 257 and 263]
ORDER FOR SALE AT INSTANCE OF THE CHARGEE
I, ......................................................................................................................................
*Registrar of the High Court/Land Administrator in exercise of the powers conferred by
*section 257/263 of the National Land Code, hereby order the sale of the *land/undivided
share in the *land/lease/sublease described in the Schedule below;
And I further order—
(a) that the sale shall be by public auction, to be held on ………………..………..
at .................................. *forenoon/afternoon in—
..............................................................................................................................
..............................................................................................................................
.......................................................................................................... ....................
(State the place of the auction)
(b) that the reserve price for the purpose of the sale shall be RM.............................
(In words – ............................................................................ Ringgit Malaysia).
2. I find that the amount due to the *chargee/chargees at this date is RM—
*(a) RM ................................ Name of chargee .........................................................
(b) RM .................................Name of chargee .........................................................
(c) RM ................................. Name of chargee ........................................................
3. The sale shall be subject to the following conditions:
(a) the bidder possesses, the sum equivalent to ten per centum of the reserve price
specified under subparagraph (b) of the first paragraph above: RM .......................
(in words ................................................................................... Ringgit Malaysia);
(b) the full amount of the purchase price may be paid immediately after the fall of the
hammer by the successful bidder to the chargee;
(c) where the full amount of the purchase price is not paid after the fall of the hammer
by the successful bidder—
(i) then the sum specified in subparagraph (a) shall be paid to the chargee and
it shall be retained as a deposit until the full purchase price has been paid;
and
(ii) pending the settlement of the balance of the purchase price, the sum
specified in subsubparagraph (i) shall be credited into the account of the
chargor for the purpose of reducing the amount due to the chargee;
(d) the balance of the purchase price shall be settled within a date not later than one
hundred and twenty days from the date of the sale, that is, not later than
……………… and there shall be no extension of the period so specified; and
(e) where the full purchase price is not settled on or by the date specified in
subparagraph (d), the sum paid as deposit under subparagraph (c) to the chargee
shall be forfeited and disposed of in the manner specified under section 267.
National Land Code 74
Dated on ………………………….....
............................................
*Registrar of the Court/
Land Administrator
District of ………………………
State of …………………………
SCHEDULE OF LAND *AND INTEREST
[as in Form 13A]
*Delete as appropriate
National Land Code
Form 16I
[Section 265]
CERTIFICATE OF SALE BY LAND ADMINISTRATOR
[Heading]
I, ......................................................................................................................................
Land Administrator for the District of …................................................................................
in exercise of the powers conferred by section 265 of the National Land Code hereby certify
that the *land/undivided share in the land/lease/sublease described in the Schedule below
has, for the sum of ...................................... ringgit (the receipt of which is hereby
acknowledged) been sold to ………………...……………………………………………...
………………………………………………………………………...………………….…
of ……....................................................................................................................................
pursuant to an order of the Land Administrator under section 263 of the National Land
Code, made on the application of the chargee under Charge Registered No. …………........
*The issue document of title to the land ……………………………………….
*The duplicate *lease/sublease Land Administrator
*is/is not now attached.
Dated on ………………………….....
L.S.
District .................................................
[Schedule]
*Delete as appropriate
National Land Code 75
National Land Code
Form 16J
[Section 272]
NOTICE OF ENTRY INTO POSSESSION:
BY RECEIVING RENTS
To ...................................................................................................................................
of ....................................................................................................................... ....................
*lessee/sublessee/tenant of the following land:
*Town/Village/Mukim.................................. *Lot/Parcel/L.O. No. .............................
Description and No. of Title....................................... Area ..........................................
Whereas *the above land/Lease Registered No. ...........................................................
on the above land is charged to me under Charge Registered No. ......................................;
And whereas the chargor is in breach of the agreements in the charge;
Now, I, ...........................................................................................................................
of ...........................................................................................................................................
chargee under the charge hereby give notice that, in exercise of the powers conferred by
section 271 of the National Land Code, I am entering into possession of the above land by
receiving the rents due thereon;
And take notice that, by virtue of section 272 of the National Land Code, upon the
service of this notice all the rights, powers and remedies of the chargor with respect to the
receipt and recovery of, and the giving of discharges for, the rent payable by you to the
chargor (including any amount due, but not yet paid) shall pass to me.
Dated on ………………………….....
….............................................................
Signature (or other form of execution)
by or on behalf of chargee
*Delete as appropriate
National Land Code
Form 16K
[Section 272]
NOTICE OF ENTRY INTO POSSESSION:
BY GOING INTO OCCUPATION
To .................................................................................................................................
of ........................................................................................................................... ..............
*proprietor/lessee/sublessee of the following land:
*Town/Village/Mukim .......................................... Lot/L.O. No. ......................................
Description and No. of Title ...................................... Area ...............................................
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National Land Code
(Act 828)
-as at 2020
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