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
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Date ....................................
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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