FORM N

[RULES 25B]

APPLICATION FOR REGISTRATION AND AUTHORITY TO PRACTISE
*VALUATION/APPRAISAL/ESTATE AGENCY AS A REGISTERED
FIRM UNDER SECTION 23 OF THE VALUERS,
APPRAISERS AND ESTATE AGENTS ACT 1981

To be completed in BLOCK LETTERS

1.Name of Firm / :......
2. Date of *Commencement/ Incorporation / :......
3.Address of Firm / :......
......
...... Postcode ......
Tel. No. : ......
Fax No. : ......
E-Mail Address : ......
4.Head Office
Address / :......
......
...... Postcode ......
Tel. No. : ......
Fax No. : ......
E-Mail Address: ......
5.Branch Office Address (If more than one, please attach particulars of all the branches) / :......
......
...... Postcode ......
Tel. No. : ......
Fax No. : ......
E-Mail Address: ......
6.Authorised Capital
(for Body Corporate Only) / :......
7.Paid-Up Capital / :......
8.Company Registration No.
(For Firm registered under the Companies Act 1965 only) / :......
9.Accumulated capital/Assets
(for Sole Proprietorship/ Partnership Only) / :......
10.Particulars of *Sole Proprietor/Partners/Directors and Share-holders (Please provide full particulars)
11.*I/We attach herewith the prescribed fee of RM
(include bank commission of RM 0.50 for outstation cheques)

DECLARATION TO BE COMPLETED AND SIGNED BY *SOLE-PROPRIETOR / ALL PARTNERS / ALL DIRECTORS AND SHAREHOLDERS

To :

The Registrar

Board of Valuers, Appraisers and Estate Agents Malaysia.

* I / We the undersigned, apply for registration for ......

(name of firm) a *Sole Proprietorship / Partnership / Body Corporate to practice *valuation / appraisal / estate agency pursuant to Section 23 of the Valuers, Appraisers and Estate Agents Act 1981 and declare as follows :-

1.The relevant particulars of *my / our registration with the Board is as specified (Attach particulars)

2...... is a *Sole Proprietorship/Partnership/Body Corporate and has duly complied with the provisions of section 23 of the Valuers, Appraisers and Estate Agent Act 1981.

3.The copy of the *Agreement of the Partnership/Memorandum and Articles of Association of the Body Corporate and the Agreement of Foreign Affiliation/ Association (if any) submitted with this application is a certified true copy.

4.*I, being the *existing/intended sole proprietor, agree to abide by all the provisions of the Valuers, Appraisers and Estate Agents Act 1981 and the Rules made thereunder and will observe, perform and comply with any conditions or restrictions that may be imposed by the Board upon granting approval of this application and upon any time thereafter.

*We, being the members of the *existing/intended *Partnership/Body Corporate jointly and severally agree that every *Partner/Director and Shareholder will abide by all the provisions of the Valuers, Appraisers and Estate Agents Act 1981 and the Rules made thereunder and will observe, perform and comply with any conditions or restrictions that may be imposed by the Board upon granting approval of this application and upon any time thereafter.

Name of Sole Proprietor/ Partners/ Directors and Shareholders* / Signature of Sole Proprietor/ Partners/ Directors and Shareholders* / Position/ Capacity (State whether Sole Proprietor/ Partner/ Director/ Shareholder* / Registration No. (Valuer/ Appraiser/ Estate Agent) / Percentage of Equity in Firm
...... / ...... / ...... / ...... / ......
...... / ...... / ...... / ...... / ......
...... / ...... / ...... / ...... / ......
...... / ...... / ...... / ...... / ......
...... / ...... / ...... / ...... / ......
...... / ...... / ...... / ...... / ......
...... / ...... / ...... / ...... / ......
...... / ...... / ...... / ...... / ......
...... / ...... / ...... / ...... / ......
...... / ...... / ...... / ...... / ......

Date ......

Signature of Applicant (s)

* I/We, ………………………………………………………………………declare that there is no other firm/company with the name selected by* my/our goodself.

Date ......

Signature of Applicant (s)

Firm Structure

Name of Firm/Branch* / Equity Structure* / Manager in Charge

Note *

  • Please indicate whether it is a branch or Headquarters
  • Please indicate whether the company is under liberalisation

FOR OFFICE USE ONLY

Date application received......

Date processing of application completed ......

Decision of Board : * APPROVED / REJECTED / DEFERRED Date ......

Reasons ......

Date applicant notified of decision......

Date registration fees received ......

Receipt No......

Sent on ......

Entered in Register ......

Registration No......

Name and signature of Registrar ......

* Delete whichever is not applicable