Lampiran B2
Pejabat Binaan Khas
Kompleks Membeli Belah
01
No./Nama
Fasa
02
No./Nama
Blok
03
Tingkat
04
No. Unit
*1
05
Keluasan
Lantai (m.p.)
06
Harga
Jualan (RM)
07
Tarikh
Perjanjian
08
Pembeli mengikut
Kumpulan Etnik
1 – Bumiputera 2 – Cina 3 – India 4 – *Warga Asing 5 – Lain-lain
09
Negara Asal
(Pembeli Warga
Asing Sahaja)
10
Nota *1: Sila senaraikan semua unit
P.U. (A) 127 8
BORANG C
[Kaedah 2]
PENYATA EJEN HARTA TANAH
(Borang ini hendaklah dikemukakan kepada Ketua Pengarah dalam tempoh empat belas hari selepas tandatangan perjanjian jual beli)
Bahagian A : Butir-Butir Firma Ejen Harta Tanah
Firma Ejen Harta Tanah:
……………………………………………………………………………..........................
Alamat :
………………………………………………………………………………………………………………………
Poskod :
………………………………….
Negeri: ………………………………………….
No. Pendaftaran Lembaga Penilai, Pentaksir & Ejen Harta Tanah:
………………………………….
No. Telefon:
………………………………………………………………………………………………………………
No. Telefon Bimbit:
………………………………………………………………………………………………………..
No Faks :
…………………………………………………………………………………………………………….........
Alamat E-mel : …………………………………………………………………………………………………………………….
Bahagian B : Butir-Butir Penjualan Harta
Nama Skim:
……………………………………………………………………………………………………
Sektor Harta Tanah:
Kediaman
Komersil
Industri
(Sila tanda (√) pada kotak yang berkenaan)
Jenis Harta:
…………………………………
Nama Bangunan:
……………………
No Lot:
…………………………………
No Unit: ………………………………………
No. Petak
…………………………….
Jalan Utama:
……………………………
(Blok/Tingkat/Unit)
(Sila nyatakan untuk Pejabat Binaan Khas,
Perniagaan, Hotel & Pangsapuri)
Alamat: …………………………………
B10
Kegunaan Bangunan : ……………………….
B11
Keluasan Tanah: …………………
m.p.
B12
Keluasan Lantai Kasar: ……………….
m.p.
B13
Keluasan Lantai Bersih: …………………. m.p.
B14
Harga Balasan :
RM ……………………….
B15
Penjual:
………………………………………………………………………………………………
B16
Status Penjual:
[Sila tanda () pada kotak yang berkenaan]
Bumiputera
Bukan Bumiputera
Pemaju
Syarikat Tempatan
Syarikat Asing
Individu Asing
Persatuan/ Koperasi
Agensi Kerajaan / Badan Berkanun
P.U. (A) 127 9
B17
Pembeli :
……………………………………………………………………………………………………
B18
Status Pembeli :
[Sila tanda ( ) pada kotak yang berkenaan]
Bumiputera
Bukan Bumiputera
Pemaju
Syarikat Tempatan
Syarikat Asing
Individu Asing
Persatuan/ Koperasi
Agensi Kerajaan/ Badan Berkanun
B19
Tarikh Tandatangan Perjanjian Jual Beli:
………………………………………………………….
(DD/ MM/ YYYY)
Bahagian C : Butir-Butir Penyewaan
(Untuk unit kediaman, kedai dan kilang)
Nama Skim : ……………………………………………………………………………………………………………………………
Jenis Harta Tanah: ……………………………….…
Nama Harta Tanah:
………………………………
No. Lot:
……………………………………………….
No. Unit :
…………………………………..
C5(i)
No. Sub-unit :
…………………………………
Paras Tingkat :
…………………………
No. Petak :
…………………………………
(Blok/Tingkat/Unit)
Jalan :
………………………………………………………………………………………………………………………..
Kegunaan bangunan:
……………………....................................................................................................................
Keluasan Tanah :
………….
m.p.
C11
Luas Lantai Kasar:
……...
m.p.
C12
Sewa Sebulan : RM………………………..
C13
Perabot:
Tiada Perabot
Berperabot
Berperabot Sepenuhnya
[Sila tanda (√) pada kotak yang berkenaan]
C14
Tempoh Penyewaan:
Tahun …………….. Bulan ……………………
C15
Tarikh Mula Penyewaan:
………………………………………………………….
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
:
………………………………………………………………………………………………
Nama Ejen Harta Tanah
:
………………………………………………………………………………………………
Jawatan
:
………………………………………………………………………………………………
Tarikh
:
………………………………………………………………………………………………
Cop Rasmi
:
………………………………………………………………………………………………
HARTA TANAH DAN PENGURUS HARTA 1981 DAN BOLEH, APABILA DISABITKAN DIDENDA TIDAK
MELEBIHI SEPULUH RIBU RINGGIT ATAU DIPENJARAKAN SELAMA TEMPOH TIDAK MELEBIHI
TIGA BULAN ATAU KEDUA-DUANYA. ;
P.U. (A) 127 10
BORANG D
[Kaedah 2]
PENYATA PENGURUS HARTA
(Borang ini hendaklah dikemukakan kepada Ketua Pengarah setiap suku tahun sebelum dua puluh lima hari bulan Mac, Jun, September dan Disember setiap tahun)
Rujukan JPPH : ………………………..
(Untuk Kegunaan Dalaman Sahaja)
Tahun:
Suku :
Q1: Januari - Mac
Q2: April – Jun
Q3: Julai - September
Q4: Oktober – Disember
(Sila tanda (√) pada kotak yang berkenaan)
Bahagian A : Maklumat Pembekal Data
Nama Pengurus Harta / Pemilik: …………………………………………………………………..…………………
Alamat: …………………………………………………………………………………………………….…..………………..
Bandar: …………………………………………………………………………………………………….…..……………….
Poskod: ..…………………………………………………………………………………………………..…..……………….
Negeri: ……………………………………………………………………………………………………...…..………………
Nama Pegawai: ………………………………………………………………………………………….…..………………
No. Tel.: ……………………………………………………………………………………………………..…..………………
No. Faks: …..………………………………………………………………………………………………..…..……………..
Alamat E-mel: ………..……………………………………………………………………………………...…..…………..
Bahagian B : Alamat Harta
Nama Projek/ Skim: ……………………………………………………………………………………………………….
No. Lot.: ……………………………………………………………...…………………………………………………………
No. Hakmilik: …………..................................................................………………………………………………………
Nama Bangunan: ……………………………………………………………………………………………………………
Blok: …………………………………………………………………..…………………………………………………………
Alamat: …………………………………………………………………………………………………………………………
Poskod: …………………………………………………………….………………………………………………………….
Daerah: …………………………………………………………………………………………………………………………
Negeri: ………………………………………………………………………………………………………………………….
P.U. (A) 127 11
Bahagian C : Butir – Butir Harta Tanah
Kegunaan Harta:
Pejabat Binaan Khas
Kompleks Perniagaan
[Sila tanda (√) pada kotak yang berkenaan]
Jenis harta (Sila tanda (√) pada kotak yang berkenaan)
Subsektor
Pemilik Harta Tanah
Jenis Harta Tanah
Pejabat
Binaan Khas
Milik Swasta
Sesebuah
Kerajaan : Persekutuan
Berkembar
Kerajaaan : Negeri
Teres
Kerajaan : Pihak Berkuasa Tempatan
Kompleks Bertingkat
Badan Berkanun
Kompleks
Perniagaan
Milik Swasta
Arked
Kerajaan : Persekutuan
Pusat Perniagaan
Kerajaaan : Negeri
Pasaraya Besar
Kerajaan : Pihak Berkuasa Tempatan
Badan Berkanun
(i)
Nama Blok: ………………………………………………………………………………………………..
(ii)
Bilangan Aras: ……………………………………………………………………………………………
(iii)
Tarikh Siap: ………………………………………………………..………………………………………
(iv)
Jumlah Keluasan Lantai Kasar:………………………………………………………………………m.p.
(v)
Jumlah Keluasan Lantai Bersih:……………………………………………………………………...m.p.
(vi)
Bilangan Tingkat Bawah Tanah: ………………………………………………………………………….
(vii)
Unit Syer:
Tidak
[jika ya, terus ke (viii)]
(viii)
Unit Strata:
(a) Diuruskan Sendiri:..………………unit
(b) Pengurus Harta:……………unit
Perbelanjaan
(i)
Insurans
: RM ……………….. setahun
(ii)
Cukai Tanah
: RM…………………setahun
(iii)
Cukai Pintu
: RM…………………setahun
(iv)
Pembaikan & Penyelenggaraan : RM…………………setahun
(v)
Lain-lain
: RM………………....setahun
Butir-Butir Parkir
(i)
Bilangan Parkir : ………………….…unit
(ii) Parkir Percuma: ……………….unit
(iii)
Parkir Bulanan: …………….………..unit
Kadar/sebulan : RM …………………..
(iv)
Parkir Harian: ………………….…….unit
Kadar :RM…………./ sehari
RM…………./ sejam
RM:…………/ sekali masuk
(v)
Lokasi Parkir
Bawah Tanah : ………unit
Bumbung
: ………unit
Ruang Terbuka : ………unit
Bertingkat
: ………unit
P.U. (A) 127 12
Status Bangunan
(i)
Bangunan Hijau
Tidak
(ii)
Status MSC
Tidak
P.U. (A) 127 13
Bahagian D: Butir-butir Penyewaan
Tingkat
(01)
Unit
(02)
Nama
Penghuni/
Penyewa
(03)
Jenis
Perniagaan
(04)
Kegunaan
Ruang
(05)
Keluasan
Lantai
Bersih
(m.p.)
(06)
Sewa Bulanan
Caj
Perkhidmatan
Bulanan
Tempoh Penyewaan
Kemudahan
Tempat Letak
Kereta
Kadar
(RM/m.p.)
(07)
Sewaan Termasuk
(Sila tandakan (√) pada kotak yang berkenaan)
RM (s.m.p.)
(11)
Mula
(TT/BB/TT)
(12)
Tamat
(TT/BB/TT)
(13)
Tempoh
Kajian
Semula
Sewaan
(14)
Percuma
(Unit)
(15)
Sewa
Bulanan
(Unit)
(16)
Elektrik
(08)
Air
(09)
Penyaman
Udara
(10)
Jumlah Ruang Dihuni/ Disewa: ……………………………………. meter persegi/ ……..%
Jumlah Ruang Kosong: ………………………………………………… meter persegi/ ……..%
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan : ……………………………………………………………………………
Nama : ……………………………………………………………………………
Jawatan : ……………………………………………………………………………
Tarikh : …………………………………………………………………………..
Cop Rasmi : ……………………………………………………………………………
P.U. (A) 127 14
MANA-MANA ORANG YANG ENGGAN MENGEMUKAKAN MAKLUMAT YANG DIKEHENDAKI DALAM TEMPOH YANG DITETAPKAN ATAU BERSENGAJA MEMBERI
APA-APA MAKLUMAT PALSU ADALAH MELAKUKAN SUATU KESALAHAN DI BAWAH SUBSEKSYEN 6(3) AKTA PENILAI, PENTAKSIR, EJEN HARTA TANAH DAN
PENGURUS HARTA 1981 DAN BOLEH, APABILA DISABITKAN, DIDENDA TIDAK MELEBIHI SEPULUH RIBU RINGGIT ATAU DIPENJARAKAN SELAMA TEMPOH
TIDAK MELEBIHI TIGA BULAN ATAU KEDUA-DUANYA. ;
P.U. (A) 127 15
BORANG E
[Kaedah 2]
PENYATA PEMILIK/ PENGUSAHA HOTEL / RUMAH REHAT/ HOSTEL
(Maklumat dalam borang ini hendaklah dikemukakan kepada Ketua Pengarah sebelum atau pada lima belas hari bulan bulan berikutnya)
Rujukan JPPH : ………………………..
(Untuk kegunaan dalaman sahaja *1)
Tahun :
Bulan :
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
[Sila tanda (√) pada kotak yang berkenaan]
Bahagian A: Butir-Butir Hotel/Rumah Rehat/ Hostel
Nama dan Alamat Berdaftar
(i)
Nama berdaftar Hotel/ Rumah Rehat: ……………………………………………………………………………………….
(ii)
Alamat: …………………………………………………………………………………………………………………………………….
(iii)
Poskod: ……………………………………………………………………………………………………………………………………
(iv)
Daerah: …………………………………………………………………………………………………………………………………….
(v)
Negeri: ……………………………………………………………………………………………………………………………………..
No. Pendaftaran Syarikat: …………………………………………………………………………………………………………
No. Pendaftaran:
MOTOUR
MAH
MBHA
MAHO
Tidak Berdaftar
[Sila tanda (√) pada kotak yang berkenaan]
Syarikat Induk
(i)
Nama Syarikat Induk Pengusaha Hotel/Rumah Rehat (jika berlainan daripada di atas):
………………………………………………………………………………………………………………………………………………..
(ii)
Alamat: ……………………………………………………………………………………………………………………………………
(iii)
Poskod: ……………………………………………………………………………………………………………………………………
(iv)
Daerah: ……………………………………………………………………………………………………………………………………
(v)
Negeri: ……………………………………………………………………………………………………………………………………
(vi)
Kategori Pengusaha:
Bumiputera
Bukan Bumiputera
Asing
[Sila tanda (√) pada kotak yang berkaitan]
P.U. (A) 127 16
Nama Pemilik Bangunan Berdaftar: ………………………………………………………………………………………….
Jenis Harta Tanah: …………………………………………………………………………………………………………………..
Maklumat Hotel
Hotel
Nama Pengurusan Hotel
No. Telefon
: …………………………………………….
…………………………………………….
No. Faks
: …………………………………………….
…………………………………………….
Alamat E-mel
: …………………………………………….
…………………………………………….
Alamat Web
: …………………………………………….
…………………………………………….
Butir-butir Harta Tanah
No. Lot/
PT/Plot *
Hakmilik
Jenis
Hakmilik
Negeri
Daerah/
Bahagian
Mukim
Seksyen/
Blok *
Keluasan
Tanah
(Hek/m.p.) *
(01)
(02)
(03)
(04)
(05)
(06)
(07)
(08)
(*Sila pilih mana-mana yang berkenaan)
Lokasi Hotel
Bandar /
Pekan
Pantai
Bukit
Lain-lain
[Sila tanda (√) pada kotak yang berkenaan]
Bahagian B: Pengkelasan
Pengkelasan sebagaimana diluluskan oleh Kementerian Pelancongan Malaysia
(i)
Pengkelasan
Hotel Bertaraf Bintang
Hotel Bertaraf Orkid
Hotel Tidak Bertaraf 5 4 3 2 1 3 2 1
Hotel Apartment
Bertaraf Bintang
Hotel Apartment
Tidak Bertaraf
Rumah
Rehat
Asrama 5 4 3
(ii)
Hotel berkonsep Bangunan Hijau:
Tidak
[Sila tanda (√) pada kotak yang berkenaan]
P.U. (A) 127 17
Bahagian C: Penginapan dan Kemudahan Hotel/Rumah Rehat
Jumlah Bilik (Untuk Hotel dan Rumah Rehat)
Jenis Penginapan
Jumlah Bilik
Bilik Bujang Seorang
Bilik Kelamin Standard
Bilik Bujang Mewah
Bilik Kelamin Mewah
Bilik Bujang Superior
Bilik Kelamin Superior
Bilik Bujang Suit
Bilik Mewah Suit
Bilik Suit Eksekutif
Chalet
Kotej
Kabin
Lain-lain :
(a)
(b)
(c)
Jumlah Keseluruhan
Kemudahan-kemudahan
[Sila (√) pada kotak yang berkenaan]
Kemudahan Dalam Bilik
Makanan dan Minuman
Penghawa Dingin
Restoran
Telefon
Kedai Kopi
Muzik Dalaman
Bar / Ruang Koktel
Televisyen Warna
Kerusi Bayi
Video Dalaman
Sijil Halal
Kabel / TV Satelit (eg. Astro)
Lain-lain (Sila Nyatakan):
Mini Bar / Peti Sejuk
Lain-lain (Sila Nyatakan):
Alat Pemancuh Kopi / Cerek
Lain-lain (Sila Nyatakan):
Peti Deposit Simpanan
Air Panas / Sejuk
Rekreasi
Tub Mandi
Kolam Renang
Air Pancuran
Gelanggang Tenis
Katil Bayi
Gelanggang Squasy
Kemudahan untuk Orang Kurang Upaya
Pusat Kesihatan
Kemudahan (eg. jubah mandi, selipar)
Sukan Air
Bilik dan Tingkat Merokok / Tidak Merokok
Padang Golf
Arah Kiblat
Gelanggang Boling
Wi-fi / Jalur Lebar
Kemudahan Ekuestrian
Pengering Rambut
Permainan Dalaman
Seterika / Papan Seterika
Disko
Elemen Batik
Karaoke
Lain-lain (Sila Nyatakan):
Spa
Lain-lain (Sila Nyatakan):
Lain-lain (Sila Nyatakan):
Lain-lain (Sila Nyatakan):
Lain-lain (Sila Nyatakan):
Lain-lain (Sila Nyatakan):
P.U. (A) 127 18
Kemudahan Lain
Bilik Persidangan/ Bilik Fungsi
Dewan Banquet
Arked Perniagaan
Salon Kecantikan/ Rambut
Pusat Perniagaan
Kemudahan Kad Kredit
Kemudahan Tukaran Wang Asing
Pusat Informasi Pelancong
Perkhidmatan Sewa Kereta/ Limosin
Dobi
Perkhidmatan Pos/ Kiriman
Perkhidmatan Bilik 24 Jam
Kawalan Keselamatan 24 Jam
Tempat Letak Kereta
Kemudahan untuk Orang Kelainan Upaya
Wifi / Jalur Lebar
Kemudahan Perubatan (Doktor Dalaman)
Surau Lelaki
Surau Perempuan
Telefon Awam
Meja Pelawat
Informasi Rak Pelancong
Internet/ Laman Sesawang
Pakej Perkahwinan
Pusat Penjagaan Kanak-kanak
Kemudahan Tempahan Dalam Talian
Lain-lain (Sila Nyatakan):
Lain-lain (Sila Nyatakan):
Lain-lain (Sila Nyatakan):
Bahagian D: Kadar Rasmi (Ringgit Malaysia)
Tarif Bilik
(i)
Kadar bersih termasuk caj perkhidmatan dan cukai kerajaan
Jenis Penginapan
Biasa
Promosi
Jenis Penginapan
Biasa
Promosi
Bilik Bujang Standard
Chalet
Bilik Kelamin Standard
Kabin
Bilik Bujang Mewah
Kotej
Bilik Kelamin Mewah
Lain-lain (Sila Nyatakan):
Bilik Bujang Superior
(a)
Bilik Mewah Superior
(b)
Bilik Bujang Suit
(c)
Bilik Kelamin Suit
Bilik Suit Eksekutif
P.U. (A) 127 19
Bahagian E: Penginapan Hotel/Rumah Rehat
Penginapan Hotel
Bilangan
Bulan
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
Bilangan Bilik yang
Didaftar Masuk oleh
Tetamu Domestik
Bilangan Bilik yang
Didaftar Masuk oleh
Tetamu Asing
Bilangan Bilik Sekali Inap oleh Penginap Domestik
Bilangan Bilik Sekali Inap oleh Tetamu Asing
Bilangan Penginap
(i)
Bilangan Penginap Domestik Mengikut Negeri
Negeri
Bil. Penginap
Negeri
Bil. Penginap
(1)
(8)
(2)
(9)
(3)
(10)
(4)
(11)
(5)
(12)
(6)
(13)
(7)
(14)
Jumlah
(ii)
Bilangan Penginap Asing Mengikut Negara Residen
Negeri
Bil. Penginap
Negeri
Bil. Penginap
(1)
(8)
(2)
(9)
(3)
(10)
(4)
(11)
(5)
(12)
(6)
(13)
(7)
(14)
Jumlah
P.U. (A) 127 20
Bahagian F: Segmen Pasaran
F1
Bilangan Penginap Berdasarkan Tujuan Menginap di Hotel/Rumah Rehat
Kategori
Domestik
Asing
Pengembara Bebas
1. Riadah
2. Perniagaan
3. Konvensyen
MICE – Kerajaan
1. Mesyuarat
2. Insentif
3. Konvensyen
4. Pameran
MICE – Korporat
1. Mesyuarat
2. Insentif
3. Konvensyen
4. Pameran
Pengembara Niaga
Pakej Pelancongan
Jumlah
Bahagian G: Hasil, Perbelanjaan dan Bilangan Pekerja
(Bahagian G & H untuk Kegunaan Jabatan Perangkaan Negara)
Bulan
Jan
Feb
Mac
Apr
Mei
Jun
Julai
Ogos
Sept
Okt
Nov
Dis 1.
HASIL
1.1
Hasil Kendalian
/ Perolehan /
Jualan 1_/
1.2
Pendapatan
Lain
1.3
Jumlah Hasil
[1.1 + 1.2]
1.4
Jika jumlah hasil yang dilaporkan untuk bulan ini meningkat atau menurun sekurang-kurangnya 30%
berbanding bulan sebelumnya, sila nyatakan
P.U. (A) 127 21
sebab berlakunya perbezaan tersebut 2.
PERBELANJAAN
2.1
Perbelanjaan kendalian/kos jualan 2_/
2.2
Perbelanjaan lain
2.3
Jumlah Gaji &
Upah 3_/
2.4
PERBELANJAAN
[2.1 + 2.2 + 2.3]
3.
Jumlah pekerja pada akhir tahun
Jumlah Pekerja 4_/
Bahagian H : Perbelanjaan Modal
(Sila lengkapkan jadual di bawah sekiranya pertubuhan ini ada membuat pembelian/jualan harta pada bulan semasa)
Butiran
TAHUN :
BULAN :
Belian (RM)
Baharu*
Terpakai
Membuat/
Membina
Sendiri
Harta yang dijual/
ditamatkan 01 02 03 04
(a)
Tanah 01
(b)
Bangunan dan pembinaan lain 02
(c)
Pembangunan tanah 03
(d)
Alat Pengangkutan 04
(e)
Komputer (termasuk perkakasan dan perisian 05
(f)
Jentera dan kelengkapan 06
(g)
Perabot dan pemasangan 07
(h)
Harta-harta lain
(cth:paten, muhibah, kerja dalam proses, dll)
08
Jumlah (a hingga h)
99
Merujuk kepada perolehan aset baru termasuk aset tetap yang diimport, sama ada baru atau terpakai
P.U. (A) 127 22
Bahagian I: Sumber Manusia *2
I1
Pekerja Warganegara Malaysia
(i)
Bilangan Kakitangan Tetap
Etnik
Pengurusan
Tertinggi
Eksekutif /
Penyelia
Kakitangan
Bahagian
Hadapan
Kakitangan
Bahagian
Belakang
Jumlah
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Melayu
Cina
India
Bumiputera Sabah
Bumiputera Sarawak
Bumiputera Lain
Bukan Bumiputera
Lain
(ii)
Bilangan Kakitangan Kontrak
Etnik
Pengurusan
Tertinggi
Eksekutif/
Penyelia
Kakitangan
Bahagian
Hadapan
Kakitangan
Bahagian
Belakang
Jumlah
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Melayu
Cina
India
Bumiputera Sabah
Bumiputera Sarawak
Bumiputera Lain
Bukan Bumiputera
Lain
(iii)
Bilangan Kakitangan Separuh Masa
Etnik
Pengurusan
Tertinggi
Eksekutif/
Penyelia
Kakitangan
Bahagian
Hadapan
Kakitangan
Bahagian
Belakang
Jumlah
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Melayu
Cina
India
Bumiputera Sabah
Bumiputera Sarawak
Bumiputera Lain
Bukan Bumiputera
Lain
P.U. (A) 127 23
I2
Pekerja Asing
(i)
Bilangan Kakitangan Tetap
Negara
Pengurusan
Tertinggi
Eksekutif/
Penyelia
Kakitangan
Bahagian
Hadapan
Kakitangan
Bahagian
Belakang
Jumlah
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
(ii)
Bilangan Kakitangan Kontrak
Negara
Pengurusan
Tertinggi
Eksekutif/
Penyelia
Kakitangan
Barisan Hadapan
Kakitangan
Barisan Belakang
Jumlah
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
(iii)
Bilangan Kakitangan Separuh Masa
Negara
Pengurusan
Tertinggi
Eksekutif /
Penyelia
Kakitangan
Barisan Hadapan
Kakitangan
Barisan Belakang
Jumlah
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Lelaki
Wanita
Saya mengesahkan bahawa maklumat/butir-butir di atas adalah betul.
Tandatangan
:
………………………………………………………………………………………………
Nama
:
………………………………………………………………………………………………
Jawatan
:
………………………………………………………………………………………………
Tarikh
:
………………………………………………………………………………………………
Cop Rasmi
:
………………………………………………………………………………………………
P.U. (A) 127 24
HARTA TANAH DAN PENGURUS HARTA 1981 DAN BOLEH, APABILA DISABITKAN, DIDENDA TIDAK
MELEBIHI SEPULUH RIBU RINGGIT ATAU DIPENJARAKAN SELAMA TEMPOH TIDAK MELEBIHI
TIGA BULAN ATAU KEDUA-DUANYA.
CATATAN:
1. *1 Kod JPPH adalah Pengenalan Pengguna yang akan dibekalkan kepada pembekal data NAPIC.
2. *2 Keterangan mengenai Sumber Manusia adalah seperti berikut:
Pengurusan Tertinggi
(Pembuat keputusan)
Eksekutif/ Penyelia
(Staf Pengoperasian)
Kakitangan
Barisan
Hadapan (Berhubung secara langsung dengan penginap)
Kakitangan
Barisan
Belakang
(Staf Sokongan)
Pemilik
Semua Pengurus
Kakitangan Jualan
Restoran
Lembaga Pengarah
Semua Eksekutif
Pegawai Perkhidmatan
Pelanggan
Pengurus Rumah
Pengurus-Pengurus
Besar
Semua Penyelia
Penyambut Tetamu
Kerani
Pengurus
Residen/
Pengurus
Eksekutif
Perakaunan/ Pengurus
Tempat Peranginan
Jurumasak Kedua
Pekerja Rencam
Tukang Cuci
Pengawah Kewangan/
Pengawal Kewangan
Jurumasak Pusat
Meja Hadapan
Pengawal Keselamatan
Ketua Perakaunan
Jurumasak Bahagian
Juruwang
Tukang Cat
Semua
Pengarah
Bahagian
Ketua
Makanan
&
Minuman
Penjaga Pintu
Juruelektrik
Tukang
Masak
Eksekutif
Tungkat Angkat
Pembantu
Semua Ketua Bahagian
Pelayan Lelaki/ Pelayan
Wanita
Tukang Masak Pastri
Pembantu
Pelayan
Lelaki/
Pembantu
Pelayan Wanita
Tukang Kebun
Pelayan Bar
Pelayan
Penjaga Pintu
Pembantu Dobi
Servis Bilik
Pemandu
Setiausaha
Pengemas Bilik
Tukang Paip
Tukang Kayu
P.U. (A) 127 25
Nota Penjelasan untuk Bahagian G:
1_/
Tidak termasuk perkara-perkara seperti pendapatan daripada faedah, dividen, subsidi, geran kerajaan, derma, pajakan kewangan, pemulihan hutang lapuk, tuntutan insurans, keuntungan dari jualan harta dan transaksi pertukaran wang asing. Item-item tersebut perlu dilaporkan di bawah perkara 1.2.
2_/
Termasuk perkara-perkara seperti kos bahan untuk pembaikan dan penyelenggaraan, barang-barang yang dibekalkan secara percuma (cth: gula, kopi, surat khabar dll), perbelanjaan sewa, utiliti, iklan dan perjalanan, bayaran guaman, bayaran professional dsbnya. Tidak termasuk susut nilai, faedah dan sukai, hutang lapuk, kerugian tukaran wang asing dan lain-lain perbelanjaan kewangan yang perlu dilaporkan di bawah perkara 2.
2. Tidak termasuk juga gaji dan upah yang telah dilapor secara berasingan di bawah perkara 2.3.
3_/
Meliputi bayaran yang diterima oleh pekerja sama ada dalam tunai atau berbentuk benda dan sebelum potongan PERKESO, KWSP, cukai dan lain-lain. Termasuk juga di sini adalah bayaran lebih masa, bonus, elaun, gaji semasa cuti, upah pengarah dibayar oleh majikan dan kos minima atau percuma kepada pekerja untuk makanan dan tempat tinggal.
4_/
Termasuk pemilik dan rakan niaga yang aktif, pekerja keluarga tidak bergaji, pekerja sepenuh masa atau pekerja sambilan.
;
P.U. (A) 127 26
BORANG F
[Kaedah 2]
PENYATA LEMBAGA KEMAJUAN PERINDUSTRIAN MALAYSIA: KELULUSAN PROJEK
(Borang ini hendaklah dikemukakan kepada Ketua Pengarah sebelum tiga puluh hari bulan Julai dan tiga puluh hari bulan Januari setiap tahun)
Tahun :
Separuh Tahun (Januari – Jun)
Setahun (Januari – Dec)
[Sila tanda (√) pada kotak yang berkenaan]
Negeri
Projek Baru
Pengembangan/ Penambahan
Jumlah
Bil
Projek
Bil
Pekerja
Pelabur
Tempatan
Pelabura n Asing
Jumlah
Pelaburan
Modal (RM)
Bil
Projek
Bil
Pekerja
Pelabur
Tempat an
Pelaburan
Asing
Jumlah
Pelaburan
Modal (RM)
Bil
Projek
Bil
Pekerja
Pelabur
Tempatan
Pelabur an
Asing
Jumlah
Pelaburan Modal
Jumlah
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
:
………………………………………………………………………………………………
Nama Ejen Harta Tanah
:
………………………………………………………………………………………………
Jawatan
:
………………………………………………………………………………………………
Tarikh
:
………………………………………………………………………………………………
Cop Rasmi
:
……………………………………………………………………………………………… ;
P.U. (A) 127 27
BORANG H
[Kaedah 2]
PENYATA PERBADANAN KEMAJUAN NEGERI: MAKLUMAT MENGENAI PENJUALAN HARTA
(Borang ini hendaklah dikemukakan bersama dengan Lampiran H1 atau H2, mengikut mana-mana yang berkenaan, kepada Ketua Pengarah dalam tempoh empat belas hari dari tarikh pelancaran atau sebelum dua puluh lima hari bulan Mac, Jun, September dan Disember)
Rujukan JPPH *1:______________
(Untuk kegunaan dalaman sahaja)
Tahun :
Suku :
Q1: Januari – Mac
Q2: April – Jun
Q3: Julai - September
Q4: Oktober – Disember
[Sila tanda (√) pada kotak yang berkaitan]
Bahagian A: Butir-Butir Pemaju
Nama Syarikat/ Pemilik: …………………………………….………………………………………………………
Alamat Perniagaan: ……………………………………………………………………………………………………..
Poskod: ……………………………………………………………………………………………………………………….
Negeri: ………………………………………………………………………………………………………………………
No. Telefon: ………………………………………….…………………………………..………………………………
No. Faks: …………………………………………………………………………………………………………………….
Alamat E-mel: ………………………………………………………………………………………………………………
No. Pendaftaran Syarikat: ……………………………………………………………………………………………
No. Lesen Pemaju Perumahan: ……………………………………………………………………………………
Alamat Surat Menyurat : ………………………………………………………………………………………………
(Jika berlaianan daripada alamat perniagaan)
Bahagian B: Butir-Butir Pembangunan
Nama Projek: ……………..…………………………………………………………………………………….
Alamat Projek: …………………………………………………………………………………………………..
P.U. (A) 127 28
Sila isi maklumat di bawah:
01
Subsektor:
1-Kediaman 2-Komersil 3- Industri
02
Bil. /
Nama
Fasa
03
Permit Iklan dan
Penjualan
Tarikh
Pelanca ran
(Jualan)
06
Jumlah Unit
Dilancarkan
%
Kemaju an
Pemba ngunan
09
Harga
Jualan
10
Diskaun
Bumi-putera
(%)
11
Tarikh
Dijangka
Siap
12
Permit
04
Tarikh
Kelulusan
05
Lot
Bumi-putera
07
Lot
Bukan
Bumi-puter a
08
Nota:
Sila isikan Lampiran H1 bagi maklumat penjualan harta kediaman, kedai dan industri.
Sila isikan Lampiran H2 bagi maklumat penjualan unit perniagaan/ pejabat di bangunan pejabat binaan khas dan kompleks membeli belah.
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
: ………………………………………………………………………………………………
Nama
: ………………………………………………………………………………………………
Jawatan
: ………………………………………………………………………………………………
Tarikh
: ………………………………………………………………………………………………
Cop Rasmi
: ………………………………………………………………………………………………
P.U. (A) 127 29
Maklumat Penjualan [Sila tanda (√) pada kotak yang berkenaan]
Lampiran HI
Kediaman
Kedai
Industri
01
No. /
Nama Fasa
02
No. Unit
03
No. Lot/
No. Plot/
No. PT
*1
04
Hakmilik
05
Jenis
Harta/
Bangunan
*2
06
Bil.
Tingkat
07
Harga
Jualan
08
Tarikh
Perjanjian
09
Pembeli mengikut
Kumpulan
Etnik
1 – Bumiputera 2 – Cina 3 – India 4 – *Warga Asing 5 – Lain-lain
10
Negara
Asal
(Pembeli
Warga
Asing
Sahaja)
11
Unit
Bumiputera
(Sila tanda
(√))
12
Nota
*1: Sila senaraikan semua lot/plot dalam pembangunan berkenaan
*2: Ter = Teres, SD = Berkembar, Det = Sesebuah, TH = Rumah Bandar, CL= Berkelompok, Flat = Rumah Pangsa, Apt= Pangsapuri, Condo = Kondominium,
SA = Pangsapuri Perkhidmatan, SOHO = SOHO, Whs = Gudang
P.U. (A) 127 30
Maklumat Penjualan Unit Perniagaan/Pejabat [Sila tanda (√) pada kotak yang berkenaan]
Lampiran H2
Pejabat Binaan Khas
Kompleks Membeli Belah
01
No. / Nama
Fasa
02
No. / Nama
Blok
03
Tingkat
04
No. Unit
*1
05
Keluasan
Lantai (m.p.)
06
Harga
Jualan (RM)
07
Tarikh
Perjanjian
08
Pembeli mengikut
Kumpulan Etnik
1 – Bumiputera 2 – Cina 3 – India 4 – *Warga Asing 5 – Lain-lain
09
Negara Asal
(Pembeli Warga
Asing Sahaja)
10
Nota *1: Sila senaraikan semua unit;
P.U. (A) 127 31
BORANG I
[Kaedah 2]
PENYATA BANK NEGARA MALAYSIA
(Borang ini hendaklah dikemukakan kepada Ketua Pengarah selepas empat belas hari laporan berkenaan dikeluarkan. Sila nyatakan tempoh bagi maklumat yang dikemukakan dalam borang ini.)
Tahun :
Suku :
Q1: Januari – Mac
Q2: April - Jun
Q3: Julai – September
Q4: Oktober - Disember
(Sila tanda (√) pada kotak yang berkenaan)
Seksyen A: Pembiayaan untuk Sektor Pembinaan
Bank Komersial
Bank Saudagar
Kejuruteraan Awam
Bangunan Kilang dan Perusahaan
Infrastruktur
Kompleks Perniagaan
Harta Kediaman
Lain-lain
Seksyen B: Pembelian Harta Kediaman
Bank Komersial
Bank Saudagar
≤ 25K
>25K to 60K
>60K to 100K
>100K to 150K
>150K to 250K
>250K
Seksyen C: Pembelian Harta Bukan Kediaman
Bank Komersial
Bank Saudagar
Bangunan Kilang dan Perusahaan
Tanah
Kompleks Perniagaan
Kedai
Lain-lain
P.U. (A) 127 32
Seksyen D: Pembiayaan Sektor Harta Tanah
Bank Komersial
Bank Saudagar
Harta Tanah
Seksyen E: Pinjaman Mengikut Sektor
Bank Komersial
Bank Saudagar
Jumlah Pinjaman Semua Sektor
Jumlah Pinjaman Semua Sektor Harta
Jumlah Pinjaman Sektor Bukan Harta
Pinjaman Perumahan Yang Dijual kepada Cagamas
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
: ……………………………………………………………………………………
Nama
: ……………………………………………………………………………………
Jawatan
: ……………………………………………………………………………………
Tarikh
: ……………………………………………………………………………………
Cop Rasmi
: ……………………………………………………………………………………
BORANG J
[Kaedah 2]
PENYATA PIHAK BERKUASA TEMPATAN: KELULUSAN PERANCANGAN
(Borang ini hendakalah dikemukakan kepada Ketua Pengarah sebelum dua puluh lima hari bulan setiap bulan)
Rujukan JPPH:______________
(Untuk kegunaan jabatan)
Tahun :
Bulan :
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
(Sila tanda (√) pada kotak yang berkenaan)
Bahagian A: Butir-Butir Pembekal Data
Nama Pihak Berkuasa Tempatan: ……………………………………………………………………………………………
Alamat: …………………………………………………………………………………………………………………………………
Bandar: ………………………………………………………………………………………………………………………………..
;
P.U. (A) 127 33
Poskod: ………………………………………………………………………………………..……………….………………………..
Negeri: …………………………………………………………………………………………………………………………………
Nama Pegawai: ……………………………………………………………………………………………………………..............
No. Telefon: ……………………………………………………………………………………………………………………………
No. Faks: ………………………………………………………………………………………………………………………………
Alamat E-mel: ……………………………………………………………………………………………………………………….
Bahagian B: Butir-Butir Projek
Nama Projek: …………………………………………………………………………………………………………………………
Nama Permohon: ……………………………………………………………………………………….......................................
Alamat Berdaftar: ………………………………………………………………………………………………………………….
Poskod: …………………………………………………………………………………………………………………………………
Bandar/ Mukim/ Seksyen: ……………………………………………………………………………………………………..
Daerah: …………………………………………………………………………………………………………………………………..
Negeri: ……………………………………………………………………………………………………………………………………
Rujukan Pihak Berkuasa Tempatan/ Kerajaan Negeri: ……………………………………………………………..
Bahagian C: Butir-Butir Pemaju
Nama Syarikat Pemaju: ……..……………………………………………………….………………………............................
Alamat: ……………………………………….………………………………………………………………………………………...
Poskod: ……………………………………………………………………………………………….………………………………..
Negeri: ………………………………………………………………………………………………….…..........................................
No. Telefon: ………………………………………………………………………………………….………………………………..
No Faks: …………………………………………………………………………………………….…………………………………..
Alamat E-mel: ………………………………………………………………………………………………….…………………….
No. Pendaftaran Perniagaan: …….…………………………………………..……………….……………………………….
No. Lesen Pemaju Perumahan: ………………………………………………………………………………………………..
Bahagian D: Lot Asal
Jenis Hakmilik: ……………………………………………………………………………….......................................................
P.U. (A) 127 34
No. Hakmilik: …………………………………………………………………............................................................................
Jenis Lot: …………………………………………………………………………………………………………………………..
No Lot/PT/Plot.: …………………………………………………………………………………………………………………..
Mukim/ Bandar/ Seksyen: ……………………………………………………………………………………………………..
Daerah: …………………………………………………………………………………………………………………………………
Negeri: …………………………………………………………………………………………………………………………………
Luas Tanah: …………………………………………………………………………………………………... (hek/m.p.)
Pemilik Tanah Berdaftar: ……………………………………………………………………………………………………
Bahagian E: Cadangan Pembangunan
Sub-sektor:
Kediaman
Komersil
Industri
Lain-lain
Jenis Harta: ……………………………………………………………………………………………………………………….
E3
Bilangan Unit/ Plot: …………………………………………………………………………………………………………..
E4
Bilangan Tingkat: ………………………………………………………………………………….....................................
E5
Nisbah Plot/ Densiti: ………………………………………………………………………….........................................
E6
Tarikh Kelulusan Perancangan: ……………………………………………………………………………………….
Nota:
(1)
Sila lampirkan keterangan sekiranya pembangunan ini melibatkan lebih dari satu projek.
(2)
Sila lampirkan satu salinan pelan susun atur yang diluluskan dan perintah pembangunan untuk setiap pembangunan yang dinyatakan di dalam borang ini.
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
……………………………………………………………………………………………
Nama
……………………………………………………………………………………………
Jawatan
…………………………………………………………………………………………..
Tarikh
…………………………………………………………………………………………..
Cop Rasmi
…………………………………………………………………………………………..
;
P.U. (A) 127 35
BORANG K
[Kaedah 2]
PENYATA PIHAK BERKUASA TEMPATAN: KELULUSAN PELAN BANGUNAN BAHARU
(Borang ini hendaklah dikemukakan kepada Ketua Pengarah sebelum dua puluh lima hari bulan setiap bulan)
Rujukan JPPH *1:______________
(Untuk kegunaan dalaman sahaja)
Tahun:
Bulan :
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
(Sila tanda (√) pada kotak yang berkenaan)
Seksyen A: Butir-Butir Pihak Berkuasa Tempatan
Nama Pihak Berkuasa Tempatan: ……………………………………………………………………………………………
Alamat: ……………………………………………………………………………………………………………………………………
Bandar: …………………………………………………………………………………………………………………………………..
Poskod: ………………………………………………………………………………………………………………………………….
Negeri: ……………………………………………………………………………………………………………………………………
No. Telefon: ……………………………………………………………………………………………………………………………
No. Faks: ………………………………………………………………………………………………………………………………..
Alamat E-mel: …………………………………………………………………………………………………………………………
Nama Pegawai: .……………………………………………………………………………………………………………………..
Seksyen B: Butir-Butir Pemaju
Nama Syarikat/Pemilik: ………………………………………………………………………………………………….........
Alamat: …………………………………………………………………………………………………………………………………..
Poskod: ………………………………………………………………………………………………………………………………….
Negeri: …………………………………………………………………………………………………………………………………..
No. Telefon: ……………………………………………………………………………………………………………………………
No. Faks: ………………………………………………………………………………………………………………………………..
Alamat E-mel: ………………………………………………………………………………………………………………………
No. Pendaftaran Perniagaan: ………………………………………………………………………………………………..
No. Lesen Pemaju Perumahan: .…………………………………………………………………………………………….
P.U. (A) 127 36
Seksyen C: Butir-Butir Projek
Nama Projek: ………………………………………………………………………………………………...........................
Nama Fasa: ....................................................................................................................................................................
Nama Syarikat/ Pemohon: ……………………………………………………………………………………………….
Alamat Berdaftar: …..………………………………………………………………………………………………………...
Poskod: ……………………………………………………………………………………………………………………………
Negeri: …………………………………………………………………………………………………………………………....
Daerah: …………………………………………………………………………………………………………………………....
Mukim/ Bandar/ Seksyen: ……………………………………………………………………………………………….
Rujukan Pihak Berkuasa Tempatan: ………………………………………………………………………………….
Tarikh Kelulusan Pelan Bangunan Baru: ……………………………………………………………………………
Seksyen D: Butir-Butir Lot Asal
Jenis Lot: ……………………………………………………………………………………………………...............................
No. Lot.: ………………………………………………………………………………………………………………………….…
Jenis Hakmilik: …………………………………………………………………………………………………………………..
No.Hakmilik: ……………………………………………………………………………………………………………………..
Jenis Pegangan: …………………………………………………………………………………………………………………
Tempoh Pegangan: ……………………………………………………………………………………………………………
Tarikh Luput Pegangan: ……………………………………………………………………………………………………
Negeri: …………………………………………………………………………………………………………………………….
Daerah: ……………………………………………………………………………………………………………………………
Mukim/ Bandar/Seksyen: ……………………………………………………………………………………………….
Luas Tanah (m.p./hektar): ……..………………………………………………………………………………………..
P.U. (A) 127 37
Seksyen E: Butir-Butir Sublot Harta Tanah
E1. Kediaman
Bil.
Jenis
Lot
Lot.
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen
Alamat
Luas
Tanah
(s.m.)
Lebar
Tanah
(meter)
Panjang
Tanah
(meter)
Sekatan
Tanah
Jenis
Pegangan
Harga
Jualan
Jenis Harta Tanah
Kegunaan
Bangunan
Bil. Tingkat
Jenis Binaan
Tarikh Kelulusan
Pelan Bangunan
Tarikh
Pelancaran
Tarikh Permit
Jualan atau Iklan
No. Permit Jualan
Bil. Bilik Tidur
Bil. Bilik Air
Luas Kasar
Bangunan (s.m.)
Strata
Nama Bangunan
Bilangan Tingkat
Atas Tanah
Bil. Tingkat
Bawah Tanah
Bil. Zon Lif
Luas Kasar Bangunan
(s.m.)
P.U. (A) 127 38
E2. Perniagaan (Kedai/ Kompleks Membeli Belah/ Pejabat Binaan Khas)
Bil.
Jenis
Lot
Lot.
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen
Alamat
Luas
Tanah
(s.m.)
Sekatan
Tanah
Jenis
Pegangan
Harga
Jualan
Jenis Harta
Kegunaan
Bangunan
Bilangan
Tingkat
Nama
Bangunan
Jenis Struktur
Tarikh
Kelulusan Pelan
Bangunan
Tarikh
Pelancaran
Pemilikan (Kerajaan/
Badan Berkanun/
Swasta) untuk
Pejabat Binaan Khas
Luas Kasar
Bangunan (s.m.)
Bilangan Tingkat
Atas Tanah
Bilangan Tingkat
Bawah Tanah
Bilangan Lif
Bilangan Zon Lif
Luas Lantai Bersih Boleh Disewakan (m.p.)
P.U. (A) 127 39
Kemudahan Stesen Minyak (Untuk Stesen Minyak Sahaja)
1.
Bil. Nozel Petrol
.................................................... unit 2.
Bil. Nozel Disel
.................................................... unit 3.
Bil Nozel Gas LNG
.................................................... unit 4.
Kapasiti Tangki Petrol
.................................................... Liter 5.
Kapasiti Tangki Disel
.................................................... Liter 6.
Kapasiti Tangki Gas LNG
.................................................... Liter 7.
Pusat Cucian Kenderaan
Ya / Tidak 8.
Bengkel
Ya / Tidak 9.
Kedai Serbaneka
Ya / Tidak 10.
Restoran Makanan Segera
Ya / Tidak 11.
24 jam
Ya / Tidak 12.
Lain-lain (Sila nyatakan)
P.U. (A) 127 40
E3. Industri
Bil.
Lot
Bilik
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen
Alamat
Luas
Tanah
(s.m.)
Lebar
Tanah
(meter)
Panjang
Tanah
(meter)
Sekatan
Tanah
Jenis
Pegangan
Harga
Jualan
Jenis Harta
Kegunaan Bangunan
Bilangan Tingkat
Nama Bangunan
Tarikh Kelulusan Pelan
Bangunan
Tarikh Pelancaran
Span (meter)
Panjang
(meter)
Luas Kasar
Bangunan
(s.m.)
Strata
Bilangan
Tingkat Atas
Tanah
Bilangan Tingkat
Bawah Tanah
Bilangan Lif
Bilangan Zon
Lif
Bilangan Lif
Pemunggah
Luas Kasar
Bangunan
(s.m.)
P.U. (A) 127 41
E4. Harta Riadah
Bil.
Jenis
Lot
No. Lot
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen
Alamat
Luas
Tanah
(s.m.)
Sekatan
Tanah
Jenis
Pegangan
Harga
Jualan
Jenis Harta
Kegunaan
Bangunan
Bilangan
Tingkat
Nama Bangunan
Jenis Struktur
Tarikh Kelulusan Pelan
Bangunan
Tarikh Pelancaran
Luas Kasar
Bangunan
(m.p.)
Bilangan
Tingkat Atas
Tanah
Bilangan
Tingkat
Bawah Tanah
Strata
Golf
Penarafan
Hotel
Jumlah
Bilangan
Bilik
Jumlah Bilangan Bilik
Mengikut Jenis Bilik
Lokasi Hotel
Bilangan Lubang
Jenis Bilik
Bilangan
Bilik
P.U. (A) 127 42
Nota:
Sila sertakan Salinan Kelulusan Pelan Bangunan bagi setiap pembangunan yang dinyatakan di dalam borang ini.
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
: ……………………………………………………………………………………………..
Nama
: ……………………………………………………………………………………………..
Jawatan
: ……………………………………………………………………………………………..
Tarikh
: ……………………………………………………………………………………………..
Cop Rasmi
: ……………………………………………………………………………………………..
BORANG L
[Kaedah 2]
PENYATA PIHAK BERKUASA TEMPATAN: KELULUSAN MEMULAKAN KERJA
(Borang ini hendaklah dikemukakan kepada Ketua Pengarah sebelum dua puluh lima hari bulan setiap bulan)
Rujukan JPPH *1:______________
(Untuk kegunaan dalaman sahaja)
Tahun:
Bulan :
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
[Sila tanda (√) pada kotak yang berkenaan]
Seksyen A: Butir–Butir Pihak Berkuasa Tempatan
Nama Pihak Berkuasa Tempatan: .………………………………………………………………………………………………
Alamat: …………………………………………………………………………………………………………………………………….
Bandar: …………………………………………………………………………………………………………………………………….
Poskod: ……………………………………………………………………………………………………………………………………
Negeri: …………………………………………………………………………………………………………………………………….
No. Telefon: ………………………………………………………………………………………………………………………………
No. Faks: .…………………………………………………………………………………………………………………………………
Alamat E-mel: ………………………………………………………………………………………………………………………….
Nama Pegawai: ………………………………………………………………………………………………………………………..
;
P.U. (A) 127 43
Seksyen B: Butir–Butir Pemaju
Nama Syarikat/Pemilik: ………..…………………………………………………………………………………...................
Alamat: ……………………………………………………………………………………………………………………………………
Poskod: …………………………………………………………………………………………………………………………………
Negeri: …………………………………………………………………………………………………………………………………..
No. Telefon: …………………………………………………………………………………………………………………………….
No. Faks: …………………………………………………………………………………………………………………………………
Alamat E-mel: …………………………………………………………………………………………………………………………
No. Pendaftaran Perniagaan: ………………………………………………………………………………………………….
No. Lesen Pemaju Perumahan: ….…………………………………………………………………………………………….
Seksyen C: Butir-Butir Projek
Nama Projek: …………………………………………………………………………………………………….................................
Nama Fasa: ..................................................................................................................................................................................
Nama Syarikat/Pemohon: …………………………………………………………………………………………………………
Alamat Berdaftar: …………………………………………………………………………………………………………………….
Poskod: …………………………………………………………………………………………………………………………………..
Negeri: …………………………………………………………………………………………………………………………………….
Daerah: …………………………………………………………………………………………………………………………………….
Mukim/ Bandar/ Seksyen: ………………………………………………………………………………………………………..
Rujukan Pihak Berkuasa Tempatan: ……………………………………………………………………………………………
Seksyen D: Butir–Butir Lot Asal
Jenis Lot: …………………………………………………………………………………………………........................................
No. Lot: .…………………………………………………………………………………………………………………….……………
Jenis Hakmilik: …………………………………………………………………………………………………………………........
No Hakmilik: …………………………………………………………………………………………………………………………
Jenis Pegangan: ………………………………………………………………………………………………………………………
P.U. (A) 127 44
Tempoh Pegangan: …………………………………………………………………………………………………………………
Tarikh Luput Pegangan: …………………………………………………………………………………………………………
Negeri: ………………………………………………………………………………………………………………………………….
Daerah: ………………………………………………………………………………………………………………………………….
Mukim/ Bandar/ Seksyen: ……………………………………………………………………………………………………...
Luas Tanah (mp/hektar): ……………………………………………………………………………………...(hek / m.p.)
P.U. (A) 127 45
Seksyen E: Butir-Butir Sublot Harta Tanah
E1. Kediaman
Bil.
Jenis
Lot
Lot.
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen
Kepentingan
Alamat
Luas
Tanah
(s.m.)
Lebar
Tanah
(meter)
Panjang
Tanah
(meter)
Sekatan
Tanah
Jenis
Pegangan
Harga
Jualan
Jenis Harta
Tanah
Kegunaan
Bangunan
Bil. Tingkat
Jenis Struktur
Tarikh
Kelulusan
Bangunan
Tarikh
Memulakan
Kerja
Tarikh
Pelancaran
Tarikh Permit
Jualan dan
Iklan
No. Permit Jualan
Bilangan Bilik
Tidur
Bilangan Bilik
Mandi
Luas Kasar
Bangunan (s.m.)
Strata
Nama Blok/
Bangunan
Bilangan Aras
Atas Tanah
Bilangan Aras
Bawah Tanah
Bilangan Zon Lif
Luas Kasar Bangunan
(s.m.)
P.U. (A) 127 46
E2. Perniagaan (Kedai/ Kompleks Membeli Belah/ Pejabat Binaan Khas)
Bil.
Jenis
Lot
Lot.
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen
Alamat
Luas
Tanah
(s.m.)
Sekatan
Tanah
Jenis
Pegangan
Harga Jualan
Jenis Harta
Kegunaan
Bangunan
Bilangan
Tingkat
Nama
Bangunan
Jenis Struktur
Tarikh
Kelulusan Pelan
Bangunan
Tarikh
Pelancaran
Pemilikan (Kerajaan/ Badan
Berkanun/ Swasta)
* untuk Pejabat Binaan Khas
Luas Kasar
Bangunan (s.m.)
Strata
Bilangan Tingkat
Atas Tanah
Bilangan Tingkat
Bawah Tanah
Bilangan Lif
Bilangan Lif
Pemunggah
Bilangan Zon Lif
Luas Lantai Bersih Boleh
Disewakan (m.p.)
P.U. (A) 127 47
Kemudahan Stesen Minyak (Untuk Stesen Minyak Sahaja)
1.
Bil. Nozel Petrol
.................................................... unit 2.
Bil. Nozel Disel
.................................................... unit 3.
Bil. Nozel Gas LNG
.................................................... unit 4.
Kapasiti Tangki Petrol
.................................................... Liter 5.
Kapasiti Tangki Disel
.................................................... Liter 6.
Kapasiti Tangki Gas LNG
.................................................... Liter 7.
Pusat Cucian Kenderaan
Ya / Tidak 8.
Bengkel
Ya / Tidak 9.
Kedai Serbaneka
Ya / Tidak 10.
Restoran Makanan Segera
Ya / Tidak 11.
24 jam
Ya / Tidak 12.
Lain-lain (Sila nyatakan)
P.U. (A) 127 48
E3. Industri
Bil.
Jenis
Lot
Lot
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen Alamat
Luas
Tanah
(s.m.)
Lebar
Lot
(meter)
Panjang
Lot
(meter)
Sekatan
Kepentingan
Jenis
Pegangan
Harga
Jualan
Jenis Harta
Kegunaan
Bangunan
Bilangan Tingkat
Nama Bangunan/
Blok
Tarikh Kelulusan
Pelan Bangunan
Tarikh Memulakan Kerja
Tarikh Pelancaran
Span (meter)
Tinggi (meter)
Luas Kasar
Bangunan
(s.m.)
Strata
Bilangan
Tingkat Atas
Tanah
Bilangan
Tingkat Bawah
Tanah
Bilangan Lif
Bilangan Zon
Lif
Bilangan Lif
Pemunggah
Luas Kasar
Bangunan (s.m.)
P.U. (A) 127 49
E4. Riadah
Bil.
Jenis
Lot
No. Lot
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen
Alamat
Luas
Tanah
(s.m.)
Sekatan
Tanah
Jenis
Pegangan
Harga
Jualan (RM)
Jenis Harta
Kegunaan
Bangunan
Bilangan
Tingkat
Nama
Bangunan
Jenis Struktur
Tarikh Kelulusan
Pelan Bangunan
Tarikh Memulakan
Kerja
Tarikh Pelancaran
Luas Kasar
Bangunan
(m.p.)
Bilangan
Tingkat Atas
Tanah
Bilangan
Tingkat
Bawah Tanah
Butir-Butir Hotel/ Pangsapuri Perkhidmatan
Golf
Penarafan
Bintang
Jumlah
Bilangan
Bilik
Bilangan Bilik Mengikut
Jenis Bilik
Lokasi Hotel
Bilangan Lubang
Jenis
Bilik
Bilangan
Bilik
P.U. (A) 127 50
Nota: Sila sertakan 50oring50 Surat Memulakan Kerja bagi setiap pembangunan yang dinyatakan dalam 50oring.
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
:……………………………………………………………………………………………
Nama
:……………………………………………………………………………………………
Jawatan
:……………………………………………………………………………………………
Tarikh
:……………………………………………………………………………………………
Cop Rasmi
:…………………………………………………………………………………………… ;
BORANG M
[Kaedah 2]
PENYATA PIHAK BERKUASA TEMPATAN: PENGELUARAN SIJIL LAYAK MENDUDUKI
(Borang ini hendaklah dikemukakan kepada Ketua Pengarah sebelum dua puluh lima hari bulan setiap bulan)
Rujukan JPPH *1:______________
(Untuk kegunaan dalaman sahaja)
Tahun :
Bulan :
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
[Sila tanda (√) pada kotak yang berkenaan]
Bahagian A: Butir-Butir Pihak Berkuasa Tempatan
Nama Pihak Berkuasa Tempatan: ………………………………………………………………………………………………..
Alamat: ………………………………………………………………………………………………………………………………………..
Bandar: ………………………………………………………………………………………………………………………………………
Poskod: ……………………………………………………………………………………………………………..………………………
Negeri: ………………………………………………………………………………………………………………………………………
No. Telefon: ………………………………………………………………………………………………………………………………..
No. Faks: .……………………………………………………………………………………………………………………………………
Alamat E-mel: …………………………………………………………………………………………………………………………….
Nama Pegawai: ……………………………………………………………………………………………………………………………
Bahagian B: Butir-butir Pemaju
Nama Syarikat/Pemilik: …………………………………………………………………………………………………………..
Alamat: ……………………………………………………………………………………………………………………........................
Poskod: …………………………………………………………………………………………………………………………………….
P.U. (A) 127 51
Negeri: ………………………………………………………………………………………………………………………….………….
No. Telefon: ………………………………………………………………………………………………………………………………
No. Faks: …………………………………………………………………………………………………………………………………..
Alamat E-mel: ……………………………………………………………………………………………………………………………
No.Pendaftaran Perniagaan: …………………………………………………………………………………………………….
No. Lesen Pemaju Perumahan: .………………………………………………………………………………………………..
Bahagian C: Butir-Butir Projek
Nama Projek: ……………………………………………………………………………………………………...........................
Nama Fasa: ..........................................................................................................................................................................
Nama Syarikat/Pemohon: …………………………………………………………………………………………………….
Alamat Berdaftar: …………………………………………………………………………………………………………………
Poskod: ………………………………………………………………………………………………………………………………..
Negeri: …………………………………………………………………………………………………………………………………
Daerah: ……………………………………………………………………………………………………………………………….
Mukim/ Bandar/ Seksyen: ……………………………………………………………………………………………………
Rujukan Pihak Berkuasa Tempatan: ……………………………………………………………………………………..
Bahagian D: Butir-Butir Lot Asal
Jenis Lot: …………………………………………………………………………………………………….......................................
No. Lot: …………………………………………………………………………………………………………….…………………..
Jenis Hakmilik: ……………………………………………………………………………………………………………….............
No.Hakmilik: …………………………………………………………………………………………………………………………
Jenis Pegangan: ……………………………………………………………………………………………………………………..
Tempoh Pegangan: ………………………………………………………………………………………………………………..
Tarikh Luput Pegangan: …………………………………………………………………………………………………………
P.U. (A) 127 52
Negeri: …………………………………………………………………………………………………………………………………..
Daerah: …………………………………………………………………………………………………………………………………
Mukim/Bandar/Seksyen: ………………………………………………………………………………………………………
Luas Tanah: …..…………………………………………………………………………………………………….(hek/m. p.)
P.U. (A) 127 53
Seksyen E: Butir-Butir Sublot Harta Tanah
E1. Kediaman
Bil.
Jenis
Lot
Lot.
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen Alamat
Luas
Tanah
(s.m.)
Lebar
Tanah
(meter)
Panjang
Tanah
(meter)
Sekatan
Tanah
Jenis
Pegangan
Harga
Jualan
Jenis
Harta
Tanah
Kegunaan
Bangunan
Bilangan
Tingkat
Jenis
Binaan
Tahun
Siap
Keadaan
Bangunan
Tarikh
Kelulusan
Plan
Bangunan
Tarikh
Memulakan
Kerja
Tarikh CCC/
CCF
Dikeluarkan
Jenis
Yang
Dikeluarkan
Tarikh
Pelancaran
Tarikh
Permit
Jualan dan
Iklan
No. Permit
Jualan
Bilangan Bilik
Tidur
Bilangan Bilik
Air
Luas Kasar
Bangunan (s.m.)
Strata
Nama Blok/
Bangunan
Bilangan Tingkat
Atas Tanah
Bilangan Tingkat
Bawah Tanah
Bilangan Lif
Bilangan Zon Lif
Luas Kasar Bangunan
(m.p.)
P.U. (A) 127 54
E2. Perniagaan (Kedai/ Kompleks Membeli Belah/ Pejabat Binaan Khas)
Bil.
Jenis
Lot
Lot.
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen
Alamat
Luas
Tanah
(s.m.)
Sekatan
Tanah
Jenis
Pegangan
Harga Jualan (RM)
Jenis
Harta
Kegunaan
Bangunan
Bilangan
Tingkat
Nama
Bangunan/
Blok
Jenis
Struktur
Tahun
Siap
Keadaan
Bangunan
Tarikh
Kelulusan
Pelan
Bangunan
Tarikh
Memulakan
Kerja
Jenis CCC/
CF Yang
Dikeluarkan
Tarikh
Pelancaran
Pemilikan
(Kerajaan/ Badan
Berkanun/ Swasta)
untuk Pejabat
Binaan Khas
Luas Kasar
Bangunan (s.m.)
Strata
Bilangan Tingkat
Atas Tanah
Bilangan Tingkat
Bawah Tanah
Bilangan Lif
Bilangan Lif
Pemunggah
Bilangan Zon Lif
Luas Lantai
Bersih Boleh
Disewakan (m.p.)
Luas Kasar Bangunan
(m.p.)
P.U. (A) 127 55
Kemudahan Stesen Minyak (Untuk Stesen Minyak Sahaja)
1.
Bil. Nozel Petrol
.................................................unit 2.
Bil. Nozel Disel
.................................................unit 3.
Bil. Nozel Gas LNG
.................................................unit 4.
Kapasiti Tangki Petrol
.................................................... Liter 5.
Kapasiti Tangki Disel
Liter 6.
Kapasiti Tangki Gas LNG
Liter 7.
Basuh Kereta
Ya/Tidak 8.
Bengkel
Ya/Tidak 9.
Kedai Serbaneka
Ya/Tidak 10.
Restoran Makanan Segera
Ya/Tidak 11.
24 Jam
Ya/Tidak 12.
Lain-lain (Sila Nyatakan)
P.U. (A) 127 56
E3. Industri
Bil.
Jenis
Lot
Lot
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen Alamat
Luas
Tanah
(s.m.)
Lebar
Lot
(meter)
Panjang
Lot
(meter)
Sekatan
Kepentingan
Jenis
Pegangan
Harga
Jualan
Jenis
Harta
Tanah
Kegunaan
Bangunan
Bilangan
Tingkat
Nama
Bangunan/
Blok
Jenis
Struktur
Tahun
Siap
Keadaan
Bangunan
Tarikh
Pelan
Bangunan
Diluluskan
Tarikh
Memulakan
Kerja
Tarikh CCC/ CF
Dikeluarkan
Jenis CCC/CF
Yang
Dikeluarkan
Tarikh Pelancaran
Span (meter)
Tinggi (meter)
Luas Kasar
Bangunan
(s.m.)
Strata
Bilangan
Tingkat Atas
Tanah
Bilangan
Tingkat Bawah
Tanah
Bilangan Lif
Bilangan Zon
Lif
Bilangan Lif
Pemunggah
Luas Kasar Bangunan
(s.m.)
P.U. (A) 127 57
E4. Riadah
Bil.
Jenis
Lot
Lot
Jenis
Hakmilik
Hakmilik
Blok
Unit
Negeri
Daerah
Mukim/
Bandar
Seksyen Alamat
Luas
Tanah
(s.m.)
Lebar
Lot
(meter)
Panjang
Lot
(meter)
Sekatan
Tanah
Jenis
Pegangan
Harga
Jualan
Jenis
Harta
Kegunaan
Bangunan
Bilangan
Tingkat
Nama
Bangunan
Jenis
Struktur
Tahun
Siap
Keadaan
Bangunan
Tarikh
Kelulusan
Pelan
Bangunan
Tarikh
Memulakan
Kerja
Tarikh CCC/
Dikeluarkan
Jenis
Yang
Dikeluarkan
Tarikh
Pelancaran
Luas Kasar
Bangunan
(m.p.)
Bilangan
Tingkat Atas
Tanah
Bilangan
Tingkat
Bawah Tanah
Butir-Butir Hotel/ Pangsapuri Perkhidmatan
Golf
Penarafan
Bintang
Bilangan
Bilik
Bilangan Bilik
Mengikut Jenis
Bilik
Lokasi Hotel
Bilangan Lubang
Jenis
Bilik
Bilangan
Bilik
P.U. (A) 127 58
Nota : Sila sertakan salinan Surat Kelulusan CCC/CF untuk setiap pembangunan yang dinyatakan dalam borang ini.
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
: ………………………………………………………………………………….
Nama
: ………………………………………………………………………………….
Jawatan
: ………………………………………………………………………………….
Tarikh
: ………………………………………………………………………………….
Cop Rasmi
: …………………………………………………………………………………..
BORANG N
[Kaedah 2]
PENYATA KETUA PENGARAH TANAH DAN GALIAN/ PEJABAT TANAH: KELULUSAN UNTUK MENUKAR
KATEGORI KEGUNAAN TANAH
(Borang ini hendaklah dikemukakan kepada Ketua Pengarah sebelum dua puluh lima hari bulan setiap bulan)
Rujukan JPPH:______________
(Untuk kegunaan jabatan)
Tahun :
Bulan :
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
[Sila tandakan (√) pada kotak yang berkenaan]
Bahagian A: Butir-Butir Pembekal Data
Nama Pejabat Tanah: ……………………………………………………………………………………………............................
Alamat: …………………………………………………………………………………………………………………………………….
Bandar: …………………………………………………………………………………………………………………………………….
Poskod: ……………………………………………………………………………………………………………………………………
Negeri: ……………………………………………………………………………………………………………………………………..
Nama Pegawai: …………………………………………………………………………………………………………………….......
No. Telefon: ……………………………………………………………………………………………………………………………..
No. Faks: …………………………………………………………………………………………………………………………………..
Alamat E-mel: ……………………………………………………………………………………………………………………………
Bahagian B: Butir-Butir Projek
Nama Projek: …………………………………………………………………………………………………………………………...
;
P.U. (A) 127 59
Nama Permohon: ……………………………………………………………………………………..............................................
Alamat Berdaftar: ……………………………………………………………………………………………………………………
Poskod: …………………………………………………………………………………………………………………………………...
Mukim/ Bandar/ Seksyen: ………………………………………………………………………………………………………..
Daerah: ……………………………………………………………………………………………………………………………………
Negeri: …………………………………………………………………………………………………………………………………….
Rujukan Pejabat Tanah: ……………………………………………………………………………………………………………
Bahagian C: Butir-Butir Lot Asal
Jenis Hakmilik: …………………………………………………………………………………………........................................
No. Hakmilik: ………………………………………………………………………....................................................................
Jenis Lot: ………………………………………………………………………………………………………………………….
No Lot / PT/ Plot: …………………………………………………………………………………………………………………
Mukim/ Bandar/ Seksyen: …………………………………………………………………………………………………….
Daerah: ………………………………………………………………………………………………………………………………...
Negeri: ……………………………………………………………………………………………………………………………
Luas Tanah: ……………………………………………………………………………………………………………...(hek/ m.p.)
Pemilik Tanah Berdaftar: …………………………………………………………………………………………………………
Bahagian D: Penukaran Kategori Kegunaan Tanah
Kategori Kegunaan Sedia Ada: ……………………………………………………………………………………………
Kategori Kegunaan Baru: ……..……………………………………………………………………………………………
Nota:
(1)
Sila lampirkan keterangan projek sekiranya pembangunan ini melibatkan lebih dari satu projek.
(2)
Sila lampirkan satu salinan pelan susun atur yang diluluskan dan perintah pembangunan untuk setiap pembangunan yang dinyatakan di dalam borang ini.
P.U. (A) 127 60
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
: ………………………………………………………………………………….
Nama
: ………………………………………………………………………………….
Jawatan
: ………………………………………………………………………………….
Tarikh
: ………………………………………………………………………………….
Cop Rasmi
: ………………………………………………………………………………….
BORANG O
[Kaedah 2]
PENYATA KETUA PENGARAH TANAH DAN GALIAN/PEJABAT TANAH: KELULUSAN UNTUK MENUKAR
SYARAT NYATA
(Borang ini hendaklah dikemukakan kepada Ketua Pengarah sebelum dua puluh lima hari bulan setiap bulan. Borang ini terpakai untuk kategori kegunaan tanah yang berhubungan dengan Bangunan dan
Industri sahaja)
Rujukan JPPH:______________
(Untuk kegunaan dalaman sahaja)
Tahun :
Bulan :
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
[Sila tanda (√) pada kotak yang berkenaan]
Bahagian A: Maklumat Pembekal Data
Nama Pejabat Tanah: ……………………………………………………………………………………………........................
Alamat: …………………………………………………………………………………………………………………………………..
Bandar: ………………………………………………………………………………………………………………………………….
Poskod: ………………………………………………………………………………………………………………………………….
Negeri: …………………………………………………………………………………………………………………………………..
Nama Pegawai: ……………………………………………………………………………………………………………………....
No. Telefon: ……………………………………………………………………………………………………………………………..
No. Faks: ………………………………………………………………………………………………………………………………...
Alamat Emel: …………………………………………………………………………………………………………………………..
Bahagian B: Butir-Butir Projek
Nama Projek: …………………………………………………………………………………………………………………………
Nama Pemohon: …………………………………………………………………………………….........................................
;
P.U. (A) 127 61
Alamat Berdaftar: …………………………………………………………………………………………………………………
Poskod: ……………………………………………………………………………………………………………………………..
Mukim/ Bandar/ Seksyen: ………………………………………………………………………………………………….
Daerah: ………………………………………………………………………………………………………………………………
Negeri: …………………………………………………………………………………………………………………………………...
Rujukan Pejabat Tanah: …………………………………………………………………………………………………………
Bahagian C: Butir-Butir Lot Asal
Jenis Hakmilik: …………………………………………………………………………………………………………….............
No. Hakmilik: ……………………………………………………………………………………………......................................
Jenis Lot: …………………………………………………………………………………………………………………………..
No Lot/ PT/ Plot: ……………………………………………………………………………………………………………………
Mukim / Bandar/ Seksyen: ………………………………………………………………………………………………………
Daerah: ……………………………………………………………………………………………………………………………........
Negeri: …………………………………………………………………………………………………………………………………...
Luas Tanah: ……………………………………………………………………………………………………………(hek/m.p.)
Pemilik Tanah Berdaftar: ……………………………………………………………………………………………………
Bahagian D: Penukaran Syarat Nyata
Syarat Nyata Sedia Ada: ……………………………………………………………………………………………………………..
Jenis Harta Tanah Sedia Ada: ……………………………………………………………………………………………………
Syarat Nyata Baru: ……………………………………………………………………………………………………………………
Jenis Harta Tanah Baru: ……………………………………………………………………………………………………………
Nota:
(1)
Sila lampirkan keterangan projek sekiranya pembangunan ini melibatkan lebih dari satu projek.
(2)
Sila lampirkan satu salinan pelan susun atur yang diluluskan dan perintah pembangunan untuk setiap pembangunan yang dinyatakan di dalam borang ini.
P.U. (A) 127 62
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
: ………………………………………………………………………………….
Nama
: ………………………………………………………………………………….
Jawatan
: ………………………………………………………………………………….
Tarikh
: ………………………………………………………………………………….
Cop Rasmi
: ………………………………………………………………………………….
;
BORANG P
[Kaedah 2]
PENYATA KETUA PENGARAH TANAH DAN GALIAN/ PEJABAT TANAH: KELULUSAN UNTUK PECAH
SEMPADAN TANAH
(Borang ini hendakalah dikemukakan kepada Ketua Pengarah sebelum dua puluh lima hari bulan setiap bulan. Borang ini terpakai untuk kegunaan kategori kegunaan tanah yang berhubungan dengan Bangunan dan Industri sahaja)
Rujukan JPPH:______________
(Untuk kegunaan dalaman sahaja)
Tahun:
Bulan:
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
[Sila tanda (√) pada kotak yang berkenaan]
Bahagian A: Maklumat Pembekal Data
Nama Pejabat Tanah: ……………………………………………………………………………………………….........................
Alamat: …………………………………………………………………………………………………………………………………
Bandar: …………………………………………………………………………………………………………………………………
Poskod: ……………………………………………………………………………………………………………………………………..
Negeri: ………………………………………………………………………………………………………………………………………
Nama Pegawai: ………………………………………………………………………………………………………………………….
No. Telefon: ………………………………………………………………………………………………………………………………
No. Faks: ……………………………………………………………………………………………………………………………………
Alamat E-mel: ……………………………………………………………………………………………………………………………
Bahagian B: Butir-Butir Projek
Nama Projek: …………………………………………………………………………………………………………………………..
P.U. (A) 127 63
Nama Pemohon: ……………………………………………………………………………………..............................................
Alamat Berdaftar: ……………………………………………………………………………………………………………………
Poskod: …………………………………………………………………………………………………………………………………..
Mukim/ Bandar/ Seksyen: ……………………………………………………………………………………………………..
Daerah: …………………………………………………………………………………………………………………………………..
Negeri: ……………………………………………………………………………………………………………………………………
Rujukan Pihak Berkuasa Tempatan: ………………………………………………………………………………………..
Bahagian C: Butir-Butir Lot Asal
Jenis Hakmilik: ……………………………………………………………………………………………………………............
No. Hakmilik: …………………………………………………………………………...............................................................
Jenis Lot: …………………………………………………………………………………………………………………………
No Lot/ PT/ Plot: …………………………………………………………………………………………………………………
Mukim/ Bandar/ Seksyen: …………………………………………………………………………………………………..
Daerah: ……………………………………………………………………………………………………………………………….
Negeri: ………………………………………………………………………………………………………………………………
Luas Tanah: ……………………………………………………………………………………………………………(hek/m.p.)
Pemilik Tanah Berdaftar: ……………………………………………………………………………………………………
Bahagian D: Pecah Sempadan
Kategori Kegunaan Tanah: ………………………………………………………………………………………………………
Jenis Harta: ……………………………………………………………………………………………………………………………
Bilangan Unit/Blok: ……………………………………………………………………………………………………………….
Jumlah Luas: ………………………………………………………………………………………………….………(hek/m.p.)
Nota :
(1)
Sila lampirkan keterangan projek sekiranya pembangunan ini melibatkan lebih dari satu projek.
(2)
Sila lampirkan satu salinan pelan susun atur yang diluluskan dan perintah pembangunan untuk setiap pembangunan yang dinyatakan di dalam borang ini.
P.U. (A) 127 64
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
: ………………………………………………………………………………….
Nama
: ………………………………………………………………………………….
Jawatan
: ………………………………………………………………………………….
Tarikh
: ………………………………………………………………………………….
Cop Rasmi
: ………………………………………………………………………………….
BORANG Q
[Kaedah 2]
PENYATA KETUA PENGARAH TANAH DAN GALIAN/ PEJABAT TANAH:
KELULUSAN UNTUK SERAH BALIK TANAH DAN BERI MILIK SEMULA TANAH
(Borang ini hendakalah dikemukakan kepada Ketua Pengarah sebelum dua puluh lima hari bulan setiap bulan)
Rujukan JPPH:______________
(Untuk kegunaan dalaman sahaja)
Tahun :
Bulan :
Jan
Feb
Mac
Apr
Mei
Jun
Jul
Ogos
Sep
Okt
Nov
Dis
[Sila tanda (√)pada kotak yang berkenaan]
Bahagian A: Maklumat Pembekal Data
Nama Pejabat Tanah: ………………………………………………………………………………………………..........................
Alamat: ……………………………………………………………………………………………………………………………………...
Bandar: ……………………………………………………………………………………………………………………………………..
Poskod: ……………………………………………………………………………………………………………………………………..
Negeri: ………………………………………………………………………………………………………………………………………
Nama Pegawai: …………………………………………………………………………………………………………………………..
No. Telefon :………………………………………………………………………………………………………………………………
No. Faks: ……………………………………………………………………………………………………………………………………
Alamat E-mel: …………………………………………………………………………………………………………………………….
Bahagian B: Butir-Butir Projek
Nama Projek: …………………………………………………………………………………………………………………………….
Nama Pemohon: ………………………………………………………………………………….....................................................
Alamat Berdaftar: ……………………………………………………………………………………………………………………...
; dan
P.U. (A) 127 65
Poskod: …………………………………………………………………………………………………………………………………….
Mukim/ Bandar/ Seksyen: ……………………………………………………………………………………………………….
Daerah: ……………………………………………………………………………………………………………………………………
Negeri: …………………………………………………………………………………………………………………………………….
Rujukan Pihak Berkuasa Tempatan: …………………………………………………………………………………………
Bahagian C: Butir-Butir Lot Asal
Jenis Hakmilik: ……………………………………………………………………………………………………………………….
No. Hakmilik: …………………………………………………………………………………………………………………………
Jenis Lot: …………………………………………………………………………………………………………………………...
No Lot/ PT/ Plot: ……………………………………………………………………………………………………………………
Daerah: ………………………………………………………………………………………………………………………………….
Negeri: …………………………………………………………………………………………………………………………………...
Luas Tanah: …………………………………………………………………………………………..……………….. (hek/m.p.)
Pemilik Tanah Berdaftar: ………………………………………………………………………………………………………….
Bahagian D: Butir-Butir Berimilik Semula Tanah
Kategori Kegunaan Tanah: …………………………………………………………………………………………………………
Jenis Harta: ……………..………………………………………………………………………………………………………………..
Bilangan Unit/Blok: ………………………………………………………………………………………………………………….
Jumlah Luas: ……………………………………………………………………………………………………………. (hek/m.p.)
Nota:
(1)
Sila lampirkan keterangan projek sekiranya pembangunan ini melibatkan lebih dari satu projek.
(2)
Sila lampirkan satu salinan pelan susun atur yang diluluskan dan perintah pembangunan untuk setiap pembangunan yang dinyatakan di dalam borang ini.
Saya mengesahkan bahawa maklumat/ butir-butir di atas adalah betul.
Tandatangan
: ………………………………………………………………………………….
Nama
: ………………………………………………………………………………….
Jawatan
: ………………………………………………………………………………….
P.U. (A) 127 66
Tarikh
: ………………………………………………………………………………….
Cop Rasmi
: ………………………………………………………………………………….
Dibuat 31 Mei 2018
[JPPH: IP BP175/493/1/1; MOF(S)100-1/2/17; PN(PU2)379/VIII]
LIM GUAN ENG
Menteri Kewangan
.”.
P.U. (A) 127 67
VALUERS, APPRAISERS, ESTATE AGENTS AND PROPERTY MANAGERS ACT 1981
VALUATION AND PROPERTY SERVICES (AMENDMENT) RULES 2018
IN exercise of the powers conferred by section 8
of the
Valuers, Appraisers, Estate Agents and Property Managers Act 1981 [Act 242], the Minister makes the following rules:
Citation and commencement 1.
(1)
These rules may be cited as the Valuation and Property Services
(Amendment) Rules 2018.
(2) These Rules come into operation on 2 June 2018.
Amendment of rule 5 2.
The Valuation and Property Services Rules 1999 [P.U. (A) 382/1999], which are referred to as the “principal Rules” in these Rules, are amended by deleting subrule 5(2).
Amendment of First Schedule 3.
The First Schedule to the principal Rules is amended—
(a)
in item (b), by substituting for the word “Director” the words
“Director General”;
(b)
in item (g), by substituting for the words “Director General, Malaysian
Statistics Department” the words “ Chief Statistician, Department of
Statistics Malaysia”;
(c)
in item (i), by substituting for the words “Ministry of Culture, Arts and Tourism” the words “Ministry of Tourism and Culture”; and
(d)
in item (m), by substituting for the words “Director General, Malaysia
Industrial Development Authority” the words “Chief Executive Officer,
Malaysia Investment Development Authority”.
P.U. (A) 127 68
Amendment of Second Schedule 4.
The Second Schedule to the principal Rules is amended by substituting for
Forms B, C, D, E, F H, I, J, K, L, M, N, O, P and Q the following forms:
“FORM B
[Rule 2]
RETURN OF THE PROPERTY DEVELOPER/OWNER: INFORMATION ON SALE OF PROPERTY
(This form is to be submitted together with Appendix B1 or B2, as the case may be, to the Director General within fourteen days of launching or before twenty fifth March, June, September and December)
JPPH Reference *1 :______________
(For Internal Use Only)
Year :
Quarter :
Q1: January – March
Q2: April – June
Q3: July – September
Q4: October – December
[Please tick (√) in the appropriate box]
Section A: Details of Developer
Name of Company/ Owner: …………………………………….……………………………………………………….
(Block Letters)
Business Address: ……………………………………………………………………………………………………………..
(Block Letters)
Postcode: ………………………………………………………………………………………………………………………….
State: ……………………………………………………………………………………………………………………………….
Telephone No.: ………………………………………….…………………………………..…………………………………
Fax No.: …………………………………………………………………………………………………………………………..
Email Address: …………………………………………………………………………………………………………………
Business Registration No.: ……………………………………………………………………………………………….
Housing Developer’s License No.: …………………………………………………………………………………….
P.U. (A) 127 69
Company/Owner Status:
Bumiputera
Non-Bumiputera
A11
Correspondence Address: ……………………………………………………………………………………………..
(If different from business address)
Section B: Details of Development
Name of Project: ……………..…………………………………………………………………………………….
Project’s Address: …………………………………………………………………………………………………..
Please fill in the following information:
Subsector:
1 - Residential 2-Commercial 3- Industrial
Phase
Number/
Name
Permit of
Advertisement and
Sales
Date of
Launching
(Sales)
Total Unit
Launched
% Of
Develop ment
Progress
Selling
Price
Bumiputera
Discount
(%)
Expected
Date of
Completion
Permit
Approval
Date
Bumi-putera
Lots
Non-Bumi-putera
Lots
01 02 03 04 05 06 07 08 09 10 11 12
Note:
Fill in Appendix B1 for information on sale of residential, shops and industrial properties.
Fill in Appendix B2 for information on sale of retail/office units in purpose-built office building and shopping complex.
I certify that the above information/details are correct.
Signature : ………………………………………………………......................................................
Name :. ……………………………………………………………………………………………..
Designation : ………………………………………………………………………………………………
Date : ………………………………………………………………………………………………
Official Stamp : ………………………………………………………………………………………………
P.U. (A) 127 70
ANY PERSON WHO REFUSES TO SUBMIT THE REQUIRED INFORMATION WITHIN THE PRESCRIBED
PERIOD OR WILFULLY SUPPLIES ANY FALSE INFORMATION COMMITS AN OFFENCE UNDER
SUBSECTION 6(3) OF THE VALUERS, APPRAISERS, ESTATE AGENTS AND PROPERTY MANAGERS
ACT 1981 AND SHALL, ON CONVICTION, BE LIABLE TO A FINE NOT EXCEEDING TEN THOUSAND
RINGGIT OR TO IMPRISONMENT FOR A TERM NOT EXCEEDING THREE MONTHS OR TO BOTH. ;
P.U. (A) 127 71
Information [Please tick (√) in the appropriate box]
Appendix B1
Residential
Shop
Industry
01
Phase No.
/Name
02
Unit No.
03
Lot No./
Plot No./
PT No.
*1
04
Title No.
05
Property/
Building
Type
*2
06
No. of
Storey
07
Selling
Price (RM)
08
Date of
Agreement
09
Purchasers by
Ethnic Group
1 – Bumputera 2 – Chinese 3 – Indian 4 – Foreigner 5 – Others
10
Country of
Origin
(Foreign
Purchaser
Only)
11
Bumiputera
Unit (Please tick (√)
12
Note *1: List all the lots/ plots in the development
*2: Ter = Terrace, SD = Semi Detach, Det = Detach, TH = Townhouse, CL = Cluster, Flat = Apt, Apt = Apartment, Condo = Condominium, SA = Service Apartment,
SOHO = SOHO, Whs = Warehouse
P.U. (A) 127 72
Sale Information of Retail [Please tick (√) in the appropriate box]
Appendix B2
Purpose-Built Office
Shopping Complex
01
Phase No. /
Name
02
Block No.
/ Name
03
Floor/
Level No.
04
Unit No. *1
05
Floor Area
(s.m.)
06
Selling Price
07
Date of
Agreement
08
Purchasers by Ethnic
Group
1 – Bumputera 2 – Chinese 3 – Indian 4 – Foreigner 5 – Others
09
Country of
Origin
(Foreign
Purchaser
Only)
10
Note *1: List all the lots
P.U. (A) 127 73
FORM C
[Rule 2]
RETURN OF THE ESTATE AGENT
(This form is to be submitted to the Director General within fourteen days upon the signing of the Sale and Purchase Agreement)
Section A : Details of Estate Agent’s Firm
Estate Agent Firm: ……………………………………………………………………………………………………………………..
Address: ……………………………………………………………………………………………………………………………………
Postcode: ....................................................
State: ……………………………………………………….
Board of Valuers, Appraisers & Estate Agents Registration No.: …………………………………………………..
Telephone No.: …………………………………………………………………………………………………………………………
Handphone No.: ……………………………………………………………………………………………………………………….
Fax No.: ……………………………………………………………………………………………………………………………………
E-mail Address: ………………………………………………………………………………………………………………………..
Section B : Details of Sale of Property
Scheme Name: ………………………………………………………………………………………………………………………………..
Property Sub-sector :
Residential
Commercial
Industrial
[Please tick (√) whichever is appropriate]
Property Type :
……………………………
Property Name:
……………………………
Lot No:
……………………………………………
Unit No:
……………………………………………
Parcel No. .....................................................
Name of Main Road:
………………………
(Block/Floor Level/Unit)
(Please state for Purpose-Built Office, Retail,
Hotel & Serviced Apartment)
Address:
……………………………………………
B10
Building Use :
…………………………..
B11
Land Area:
……………………..
s.m.
B12
Gross Floor Area :
…………….
s.m.
B13
Net Lettable Area:
…………………
s.m.
B14
Price Consideration: RM............................
B15
Name of Transferor :
………………………………
B16
Transferor Status :
[Please (√) whichever is appropriate]
Bumiputera
Non-Bumiputera
Developer
Local Company
Foreign Company
Foreigner
Association/ Cooperation
Government Agency/ Statutory Bodies
B17
Name of Transferee:
………………………………......................................................................................................................
P.U. (A) 127 74
B18
Transferee Status :
[Please tick (√) whichever is appropriate]
Bumiputera
Non-Bumiputera
Developer
Local Company
Foreign Company
Foreigner
Association/ Cooperation
Government Agency/ Statutory Bodies
B19
Date of Signing:
.....................................................................
Sales & Purchase Agreement
(DD/ MM/ YYYY)
Section C: Details of Rental
(For residential, shop and industrial units)
Scheme Name: …………………………………………………………………………………………………………………………….
Property Type: ……………………………………
Property Name: …………………………………….
Lot No.: ………………………………
Unit No.: ………………………….
C5 (i)
Sub-unit No. :
…………………………
Floor Level :
………………………….
Parcel No.:
............................................
(Block/ Floor Level/ Unit)
Street: …………………………....................................................................................................................................................
Building Use: …………………………...........................................................................................................................................
Land Area: ………………………………..
s.m.
C11
Gross Floor Area:
………….
s.m.
C12
Monthly Rental : RM………………………..
C13
Furnishes:
Non-Furnished
Semi-Furnished
Fully-Furnished
[Please tick (√) whichever is appropriate]
C14
Tenancy Period :
............. Year ............ Month
C15
Date of Commencement of Tenancy: ...............................................
I certify that the above information/details are correct.
Signature
: …………………………………………………………………………………………
Name of Estate Agent
: …………………………………………………………………………………………
Designation
: …………………………………………………………………………………………
Date
: …………………………………………………………………………………………
Official Company Stamp/
: …………………………………………………………………………………………
ANY PERSON WHO REFUSES TO SUBMIT THE REQUIRED INFORMATION WITHIN THE PRESCRIBED
PERIOD OR WILFULLY SUPPLIES ANY FALSE INFORMATION COMMITS AN OFFENCE UNDER
SUBSECTION 6(3) OF THE VALUERS, APPRAISERS, ESTATE AGENTS AND PROPERTY MANAGERS
ACT 1981 AND SHALL, ON CONVICTION, BE LIABLE TO A FINE NOT EXCEEDING TEN THOUSAND
RINGGIT OR TO IMPRISONMENT FOR A TERM NOT EXCEEDING THREE MONTHS OR TO BOTH. ;
P.U. (A) 127 75
FORM D
[Rule 2]
RETURN OF THE PROPERTY MANAGER
(This form is to be submitted to the Director General on quarterly basis before the twenty fifth March, June,
September and December of each year)
JPPH Reference : ………………………..
(For Internal Use Only)
Year:
Quarter :
Q1: January - March
Q2: April – June
Q3: July - September
Q4: October - December
[Please tick (√) in the appropriate box]
Section A : Data Provider Information
Name of Property Manager / Owner: …………………………………………………………………………………….
Address : ………………………………………………………………………………………………………………………………
Town : ………………………………………………………………………………………………………………………………....
Postcode : …………………………………………………………………………………………………………………………….
State : ………………………………………………………………………………………………………………………………….
Officer’s Name : …………………………………………………………………………………………………………………..
Telephone No. : …………………………………………………………………………………………………………………...
Fax No. : ………………………………………………………………………………………………………………………………
E-mail Address. : …………………………………………………………………………….…………………………………..
Section B : Property Address
Project / Scheme Name: ………………………………………………………………………………………………………
Lot No. : ………………………………………………………………………………………………………………………………
Title No: ………………..........................................................................................................................................................
Building Name: ………………………………………………………....................................................................................
Block :…………………………………………………………………........................................................................................
Address :………………………………………………………………......................................................................................
Postcode :……………………………………………………………........................................................................................
District:………………………………………………………………….....................................................................................
State:……………………………………………………………………......................................................................................
P.U. (A) 127 76
Section C: Details of Property
Property Usage:
Purpose-Built Office
Shopping Complex
[Please tick (√) whichever is appropriate]
Property Type [Please (√) whichever is appropriate]
Sub-sector
Property Owner
Property Type
Purpose-Built Office
Privately-Owned
Detach
Government: Federal
Semi-Detach
Government: State
Terrace
Government: Local Authority
Multi Storey Complex
Statutory Body
Shopping
Complex
Privately-Owned
Arcade
Government: Federal
Shopping Centre
Government: State
Hypermarket
Government: Local Authority
Statutory Body
(i)
Block Name: ………………………………………………………………………………………………
(ii)
No. of Floor: ……………………………………………………………………………………………..
(iii)
Date of Completion: ……………………………………………………………………………………
(iv)
Gross Built-Up Area:…………………………………………………………………………………… s.m.
(v)
Nett Lettable Area:……………………………………………………………………………………….s.m.
(vi)
No. of Basement Level: ………………………………………………………………………………………….
(vii)
Shares Unit: Yes No [if yes, proceed to (viii)
(viii)
Stratified Unit:
(a)
IndividuallyManaged:……………unit
(b)
Property Manager:……………..unit
Outgoings
(i)
Insurance
: RM ………………..p.a.
(ii)
Quit Rent
: RM…………………p.a.
(iii)
Assessment
: RM…………………p.a.
(iv)
Repairs & Maintenance : RM……………..….p.a.
(v)
Others
: RM…………….......p.a.
Details of Parking
(i)
Total No. of Parking: ………. Unit
(ii)
Free Parking : ………..unit
(iii)
Seasonal Parking : …….…..unit Rate/ month : RM……………
(iv)
Daily Parking : …….….unit
RM………….../ day
RM………….../ hour
RM……..……/ entry
(v)
Location of Parking:
Basement
: ………unit
Roof Top
: ……….unit
Open Space
: ………unit
Multi-storey
: ………unit
Building Status
(i)
Green Building
Yes
(ii)
MSC Status
Yes
P.U. (A) 127 77
Section D: Rental Details
Level
(01)
Unit
(02)
Name of the
Occupier/
Tenant
(03)
Types of
Main
Business
(04)
Use of
Floor
Space
(05)
Nett
Lettable
Area
(s.m.)
(06)
Monthly Rental
Monthly
Service
Charge
Term of Tenancy
Car Park
Facilities
Rate
(RM/s.m.)
(07)
Inclusive of (Please tick (√)
whichever is appropriate
RM/
s.m.
(11)
Start
(DD/MM/YY)
(12)
Expired
(DD/MM/YY)
(13)
Rent
Review
Period
(No. Of
Year)
(14)
Free
(No.
of
Unit)
(15)
Seasonal
Parking
(No. of
Unit)
(16)
Electricity
Bill
(08)
Water
Bill
(09)
Service
Charge
(10)
Total Space Occupied/ Rented: ………………………… s.m./ ………. %
Total Vacant Space: ………………………… s.m./ ………. %
I certify that the above information/ details are correct
Signature : ……………………………………………………………………….
Name : ………………………………………………………………………..
Designation : ………………………………………………………………………..
Official Stamp: ……………………………………………………………………….
Date : ……………………………………………………………………….
P.U. (A) 127 78
ANY PERSON WHO REFUSES TO SUBMIT THE REQUIRED INFORMATION WITHIN THE PRESCRIBED PERIOD OR WILFULLY SUPPLIES ANY FALSE INFORMATION
COMMITS AN OFFENCE UNDER SUBSECTION 6(3) OF THE VALUERS, APPRAISERS, ESTATE AGENTS AND PROPERTY MANAGERS ACT 1981 AND SHALL, ON
CONVICTION, BE LIABLE TO A FINE NOT EXCEEDING TEN THOUSAND RINGGIT OR TO IMPRISONMENT FOR A TERM NOT EXCEEDING THREE MONTHS OR TO
BOTH. ;
P.U. (A) 127 79
FORM E
[Rule 2]
RETURN OF THE HOTEL /REST HOUSE/HOSTEL OWNER/OPERATOR
(This form is to be submitted to the Director General before or on the fifteenth of the following month)
JPPH Reference:______________
(For Internal Use Only*1)
Year:
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[Please tick (√) in the appropriate box]
Section A : Details of Hotel/Rest House /Hostel
Registered Name and Address
(i)
Registered Name of Hotel/ Rest House: …………………………………………………....................................................
(ii)
Address : …………………………………………………………………………………………….…....................................................
(iii)
Postcode…………………………………………………………………………………………………...................................................
(iv)
District: …………………………………………………………………………………………………..................................................
(v)
State: ……………………………………………………………………………………………………....................................................
Company Registration No.: …………………………………………………………………………
Registration No.:
MOTOUR : ………………………………
MAH: ……………………………………..
MBHA: …………………………………..
MAHO: …………………………………..
Not Registered
[Please tick (√) whichever is appropriate]
Holding Company
(i)
Name of Holding Company of Hotel/ Rest House (if different from above): ………………………………..
(ii)
Address: ………………………………………………………………………………………………………………………………….
(iii)
Postcode: ……………………………………………………………………………………………………………………………….
(iv)
District: ………………………………………………………………………………………………………………………………….
(v)
State: ……………………………………………………………………………………………………………………………............
(vi)
Category of Operator:
Bumiputera
Non Bumiputera
Foreigner
[Please tick (√)in the appropriate box]
Name of Registered Building Owner ……………………………………………………………………………………….
Type of Property …………………………………………………………………………………………………………………….
P.U. (A) 127 80
Hotel Information
Hotel
Hotel Management
Tel. No.
:
………………………………………..
………………………………………..
Fax No.
:
………………………………………..
………………………………………..
Email Address
:
………………………………………..
………………………………………..
Website Address
:
………………………………………..
………………………………………..
(*Please choose whichever is appropriate)
Hotel Location
City / Town
Beach
Hill
Others
[Please tick (√) in the appropriate box]
Section B: Hotel Classification
Classification as approved by Ministry of Tourism Malaysia
(i)
Star Rating
Hotel Star Rating
Orchid
Unrated
Hotel 5 4 3 2 1 3 2 1
Hotel Apartment
Star Rating
Unrated
Hotel
Apartment
Rest
House
Hostel 5 4 3
[Please tick (√) in the appropriate box]
(ii)
Building Concept
Green Hotel Concept:
Yes
[Please tick (√) in the appropriate box]
Property Details
Lot/ PT/
Plot No. *
Title
Title
Type
State
District/
Division
Mukim
Section/
Block *
Land Area
(Ha/ s.m.)*
(01)
(02)
(03)
(04)
(05)
(06)
(07)
(08)
P.U. (A) 127 81
Section C: Hotel/ Rest House Accommodation and Facilities
Number of Room (For Hotel and Rest House)
Accommodation Type
No. of Rooms
Standard Single
Standard Double
Deluxe Single
Deluxe Double
Superior Single
Superior Double
Single Suite
Double Suite
Executive Suite
Chalets
Cottage
Cabin
Others :
(a)
(b)
(c)
Total
Facilities
[Please tick (√) in the appropriate box]
Room Facilities
Food and Beverage
Air-conditioning
Restaurant
Telephone
Coffee House
Pipe-in-music
Bar / Cocktail Lounge
Colour TV
Baby Chair
In-House Video
Halal Certification
Cabel/Satelite TV (eg:Astro)
Others (Please Specify):
Mini Bar/Refrigerator
Others (Please Specify):
Coffee maker/Kettle
Others (Please Specify):
Safety Deposit Box
Hot/Cold Running Water
Recreation
Bath Tub
Swimming Pool
Shower
Tennis Court
Baby Cot
Squash Court
Facilities for the Disabled
Health Centre
Amenities (eg. Bathrobe, slippers)
Water Sports
Smoking/Non Smoking Room and Level
Golf Course
Kiblat Sign
Bowling Alley
Wifi / Broadband
Equestrian Facilities
Hair Dryer
In-door Game
Iron/Ironing Board
Discotheque
Batik element
Karaoke
Others (Please Specify):
Spa
Others (Please Specify):
Others (Please Specify):
Others (Please Specify):
Others (Please Specify):
Others (Please Specify):
P.U. (A) 127 82
Other Facilities
Conference / Function Room
Banquet Hall
Shopping Arcade
Hair Dressing/Beauty Saloon
Business Centre
Credit Card Facilities
Foreign Exchange Service
Tourist Information Centre
Car Rental/Limousine Service
Laundry
Mailing/Courier Service
24 Hours Room Service
24 Hours Security
Parking
Facilities for the Disabled
Wifi / Broadband
In-house Medical
Prayer Room – Male
Prayer Room – Female
Public Phone
Tour Desk
Tourist Rack Info
Internet / Website
Wedding Package
Childcare Centre
Online Booking Facility
Others (Please Specify):
Others (Please Specify):
Others (Please Specify):
Section D: Tariff (Ringgit Malaysia)
Room Tariff
(i)
Rate Inclusive of Service Charge and Government Tax
Accomodation Type
Standard
Promotion
Accomodation Type
Standard
Promotion
Standard Single
Chalet
Standard Double
Cabin
Deluxe Single
Cottage
Deluxe Double
Others (Please Specify):
Superior Single
(a)
Superior Double
(b)
Suite Single
(c)
Suite Double
Suite Executive
P.U. (A) 127 83
Section E: Hotel/Rest House Occupancy
Hotel Occupancy
Number
Month
Jan
Feb Mar Apr May
Jun
Jul
Aug Sep
Oct Nov Dec
No. of Rooms Checked-in by
Domestic Guest
No. of Rooms Checked-in by
Foreign Guest
No. of Rooms Night Sold by
Domestic Guest
No. of Rooms Night Sold by
Foreign Guest
Number of Guests
(i)
Domestic Guests According to State
State
No. of Guests
State
No. of Guests
(1)
(8)
(2)
(9)
(3)
(10)
(4)
(11)
(5)
(12)
(6)
(13)
(7)
(14)
Total
(ii) Foreign Guests According to Country of Residence
Country
No. of Guests
Country
No. of Guests
(1)
(8)
(2)
(9)
(3)
(10)
(4)
(11)
(5)
(12)
(6)
(13)
(7)
(14)
Total
P.U. (A) 127 84
Section F: Market Segment
F1
Number of Guests Based on Purpose of Stay in Hotel/ Rest House
Category
Domestic
Foreign
Free Independent Traveller
1. Leisure
2. Business
3. Convention
MICE – Government
1. Meeting
2. Incentive
3. Convention
4. Exhibition
MICE - Corporate
1. Meeting
2. Incentive
3. Convention
4. Exhibition
Business Traveller
Tour Package
Total
Section G : Revenue, Expenditure And Number of Workers
(Sections G & H for Department of Statistics)
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec 1.
Revenue
1.1 Operating revenue
/ Turnover /
Sales_1/
1.2 Other Income
1.3 Total Revenue [1.1
+ 1.2]
1.4 If total revenue for current month increased or decreased at least 30% from the previous month, please provide reason for such diifferences
2.
EXPENDITURE
2.1 Operating
Expenditure/Cost of Sales 2_/
2.2 Other Expenditure
2.3 Total Salaries &
Wages 3_/
P.U. (A) 127 85
2.4 TOTAL
EXPENDITURE
[2.1 + 2.2 + 2.3]
3.
Number of employment as at the end of the year
Total Number of
Workers 4_/
Section H : Capital Expenditure
(Please complete the table below if this establishment has made any acquisition/assets sold during current month)
Item
YEAR :
MONTH :
Acquisition (RM)
New*
Used
Built/
Self-Product
Assets Sold/
Discarded 01 02 03 04
(a)
Land 01
(b)
Building and other construction 02
(c)
Land Improvement 03
(d)
Transport Equipment 04
(e)
Computer (include hardware and software)
05
(f)
Machinery and Equipment 06
(g)
Furniture and Fittings 07
(h)
Other assets (e.g: patent, goodwill, work-in progress, etc)
08
Total (a to h)
99
Refers to acquisitions of new assets including imports of fixed assets, whether new or used.
Section I : Human Resource *2
I1
Employee With Malaysian Citizenship
(i)
Number of Permanent Staff
Ethnic
Top
Management
Executive/
Supervisor
Frontliners
Back of the
House
Total
Men
Women
Men
Women
Men
Women
Men
Women
Malay
Chinese
Indian
Bumiputera Sabah
Bumiputera Sarawak
Bumiputera
Other Non Bumiputera
P.U. (A) 127 86
(ii)
Number of Contract Staff
Ethnic
Top
Management
Executive/
Supervisor
Frontliners
Back of the
House
Total
Men
Women
Men
Women
Men
Women
Men
Women
Malay
Chinese
Indian
Bumiputera Sabah
Bumiputera Sarawak
Other Bumiputera
Other Non Bumiputera
(iii)
Number of Part-Time Staff
Ethnic
Top
Management
Executive/
Supervisor
Frontliners
Back of the
House
Total
Men
Women
Men
Women
Men
Women
Men
Women
Malay
Chinese
Indian
Bumiputera Sabah
Bumiputera Sarawak
Other Bumiputera
Other Non Bumiputera
I2
Foreign Workers
(i)
Number of Permanent Staff
Country
Top
Management
Executive /
Supervisor
Frontliners
Back of the
House
Total
Men
Women
Men
Women
Men
Women
Men
Women
(ii)
Number of Contract Staff
Country
Top
Management
Executive /
Supervisor
Frontliners
Back of the
House
Total
Men
Women Men
Women
Men
Women
Men
Women
P.U. (A) 127 87
(iii)
Number of Part-Time Staff
Country
Top Management
Executive /
Supervisor
Frontliners
Back of the House
Total
Men
Women
Men
Women
Men
Women
Men
Women
I certify that the above information/details are correct.
Signature
: ……………………………………………………………………………………...
Name
:………………………………………………………………………………………
Designation
: ………………………………………………………………………………………
Date
: ………………………………………………………………………………………
Official Stamp
: ………………………………………………………………………………………
ANY PERSON WHO REFUSES TO SUBMIT THE REQUIRED INFORMATION WITHIN THE PRESCRIBED PERIOD OR
WILFULLY SUPPLIES ANY FALSE INFORMATION SHALL BE GUILTY OF AN OFFENCE UNDER SUBSECTION 6(3) OF
THE VALUERS, APPRAISERS, ESTATE AGENTS AND PROPERTY MANAGERS ACT 1981 AND SHALL, ON CONVICTION,
BE LIABLE TO A FINE NOT EXCEEDING TEN THOUSAND RINGGIT OR TO IMPRISONMENT FOR A TERM NOT
EXCEEDING THREE MONTHS OR TO BOTH. ;
Note:
1.
*1 JPPH Code is the UserID which will be provided to data provider of the NAPIC.
2.
*2 Explanation on Human Resource is as follows:
P.U. (A) 127 88
Top Management
(Decision Makers)
Executive/ Supervisor
(Operational Staff)
Frontliner (Direct
Contact With
Guests)
Backliner (Supporting
Staff)
Owners
All Managers
Sales Staff
Restaurant
Board of Directors
All Executives
Customer Service
Officer
Housekeeper
General Managers
All Supervisors
Receptionist
Clerks
Resident Manager / Executive
Account Manager/ Resort
Manager
Sous Chef
Concierge
Cleaners
Director of Finance / Financial
Controller
Demi Chef
Front Office Desk
Security Guards
Chief Accountant
Chef De Partie
Cashiers
Painters
All Directors of Department
Food & Beverage Captain
Doormen
Electricians
Executive Chef
Bellboy
Commis
All Heads of Department
Waiters/Waitresses
Pastry Cooks
Assistant
Waiters/Waitress
Gardeners
Bartender
Steward
Porters
Laundry Attendants
Roomservice
Drivers
Secretaries
Chambermaids
Plumbers
Carpenters
Explanatory Notes for Part G:
1_/
Exclude items such as interest from income, dividends, subsidies, government grants, donations, financial leasing, bad debts recovered, insurance claims, gain on sales of assets and foreign exchange transactions. These items should be reported under item 1.2.
2_/
Include items such as cost of materials for repairs and maintenance, complimentary goods
(e.g: sugar, coffee, newspaper etc), expenditure on rent, utilities, advertising and travelling, legal fees, professional fees etc. Exclude depreciation, interest and taxes, bad debts, forex losses and other finance expenses which should be reported under item 2.
2. Also exclude salaries and wages which are reported separately under item 2.3.
3_/
Covers such payments received by employees in cash or kind and before deductions for SOCSO,
EPF, taxes, etc. Also included here are overtime pay, bonuses, allowances, paid leave, fees for working directors paid by the employer and minimal cost or free food and lodging for employees.
4_/
Include working proprietors and active business partners, unpaid family workers, full-time employees or part-time employees.;
P.U. (A) 127 89
FORM F
[Rule 2]
RETURN OF THE MALAYSIA INDUSTRIAL DEVELOPMENT AUTHORITY: APPROVAL OF PROJECT
(This form is to be submitted to the Director General before thirtieth Jul and Jan of each year)
Year:
Half Year (January – June)
Full Year (January – December)
[Please tick (√) in the appropriate box]
State
New
Expansion/Diversification
Total
No. of
Project
No. of
Employee
Domestic
Investment
Foreign
Investment
Total
Investment
No. of
Project
No. of
Employee
Domestic
Investment
Foreign
Investment
Total
Investment
No. of Project
No. of
Employee
Domestic
Investment
Foreign
Investment
Total
Investment
Total
P.U. (A) 127 90
I certify that the above information/details are correct.
Signature
: ………………………………………………………………………………………………
Name
: ………………………………………………………………………………………………
Designation
: ………………………………………………………………………………………………
Date
: ………………………………………………………………………………………………
Official Stamp
: ………………………………………………………………………………………………
;
P.U. (A) 127 91
FORM H
[Rule 2]
RETURN OF THE STATE DEVELOPMENT CORPORATION: INFORMATION ON SALE OF PROPERTY
(This form is to be submitted together with Appendix H1 or H2, as the case may be, to the Director General within fourteen days from the date of launching or before twenty-fifth March, June, September and
December)
JPPH Reference:______________
(For Internal Use Only)
Year :
Quarter :
Q1: January - March
Q2: April – June
Q3: July - September
Q4: October - December
[Please tick (√) in the appropriate box]
Section A: Details of Corporation
Name of Corporation: .……………………………………………………………………………………………………
Business Address: ………………………………………………………………………………………………………….
Postcode: ………………………………………………………………………………………………………………………
State: …………………………………………………………………………………………………………………………….
Telephone No.: ………………………………………………………………………………………………………………
Fax No.: …………………………………………………………………………………………………………………………
E-mail Address: …………………………………………………………………………………….....……………………
Business Registration No.: …………………………………………………………………………………………….
Housing Developer’s License No.: …………………………………………………………………………………..
Correspondence Address: ……………………………………………………………………………………………...
(If Different From Business Address)
Section B: Details of Development
Name of Project: ………………………………………………………………………………………….......................
Project’s Address: ……………………………………………………………………………………………………….
P.U. (A) 127 92
Please fill in the following information:
01
Sub-sector :
1-Residential
2-Commercial
3- Industrial
02
Phase
Number/
Name
03
Permit of
Advertisement and
Sales:
Date of
Laun-ching
(Sales)
06
Total Unit
Launched
% of
Development
09
Selling
Price
10
Bumi-putera
Discount
(%)
11
Expected
Date of
Completio n
12
Permit
04
Date of
Approval
05
Bumi-putera
Lots
07
Non-Bumi puter a Lots
08
Note:
Fill in Appendix H1 for information on sale of residential, shops and industrial properties.
Fill in Appendix H2 for information on sale of retail/office units in purpose-built office building and shopping complex.
I certify that the above information/details are correct.
Signature
: ………………………………………………………………………………………
Name
: ………………………………………………………………………………………
Designation
: ………………………………………………………………………………………
Date
: ………………………………………………………………………………………
Official Stamp
: ………………………………………………………………………………………
P.U. (A) 127 93
Sale Information (Please tick (√) in the appropriate box)
Appendix H1
Residential
Shop
Industry
01
Phase No.
Name
02
Unit No.
03
Lot
No./Plot
No. /PT.
*1
04
Title No.
05
Property/
Building
Type
*2
06
No. of
Storey
07
Selling
Price (RM)
08
Date of
Agreement
09
Purchasers by
Ethnic Group
1 – Bumiputera 2 – Chinese 3 – Indian 4 – Foreigner 5 – Others
10
Country of Origin
(Foreign
Purchase rs Only)
11
Bumiputera
Unit (Please
(√)
12
Note *1: List all the lots/plots in the development
*2: Ter = Terrace, SD = Semi-Detach, Det = Detach, TH = Townhouse, CL = Cluster, Flat = Apt, Apt = Apartment, Condo = Condominium, SA = Service Apartment,
SOHO = SOHO, Whs = Warehouse
P.U. (A) 127 94
Sales Information of Retail/ Office Units (Please tick (√) in the appropriate box)
Appendix H2
Purpose Built Office
Commercial Complex
01
Phase No./
Name
02
Block No./
Name
03
Floor/ Level
04
Unit No.
*1
05
Floor Area
(s.m.)
06
Selling Price
07
Date of
Agreement
08
Purchasers by
Ethnic Group
1 – Bumiputera 2 – Chinese 3 – Indian 4 – Foreigner 5 – Others
09
Country of
Origin
(Foreign
Purchasers
Only)
10
Note *1: List all the units
;
P.U. (A) 127 95
FORM I
[Rule 2]
RETURN OF THE BANK NEGARA MALAYSIA
(This form is to be submitted to the Director General after the fourteenth day such report is released. Please state the period for which the information is submitted in this form)
Year :
Quarter :
Q1: January – March
Q2: April – June
Q3: July - September
Q4: October - December
[Please tick (√) in the appropriate box]
Section A: Financing of Construction Sector
Commercial Bank
(RM Million)
Merchant Bank
(RM Million)
Civil Engineering
Industrial Buildings and Factories
Infrastructure
Commercial Complexes
Residential
Others
Section B: Purchase of Residential Property
Commercial Bank
(RM Million)
Merchant Bank
(RM Million)
≤ 25K
>25K to 60K
>60K to 100K
>100K to 150K
>150K to 250K
>250K
Section C: Purchase of Non-Residential Property
Commercial Bank
(RM Million)
Merchant Bank
(RM Million)
Industrial Buildings and Factories
Land
Commercial Complexes
Shops
Others
Section D: Financing of Real Estate Sector
Commercial Bank
(RM Million)
Merchant Bank
(RM Million)
Real Estate
P.U. (A) 127 96
Section E: Loan by Sector
Commercial Bank
(RM Million)
Merchant Bank
(RM Million)
Total Loans to All Sectors
Total Loans to All Property Sectors
Total Loans to Non-Property Sectors
Housing Loans Sold to Cagamas
I certify that the above information/details are correct.
Signature
: ……………………………………………………………………………
Name
: ……………………………………………………………………………
Designation
: ……………………………………………………………………………
Date
: ……………………………………………………………………………
Official Stamp
: ……………………………………………………………………………
;
FORM J
[Rule 2]
RETURN OF THE LOCAL AUTHORITY: PLANNING APPROVALS
(This form is to be submitted to the Director General before twenty-fifth of each month)
JPPH Reference:______________
(For Internal Use Only)
Year:
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[Please tick (√) in the appropriate box]
Section A: Data Provider Information
Name of Local Authority: …………………………………………………………………………………………….......................
Address: ……………………………………………………………………………………………………………………………….........
Town: ………………………………………………………………………………………………………………………........................
Postcode: ……………………………………………………………………………………………………………………………………
State: …………………………………………………………………………………………………………………………………………
Officer’s Name: ………………………………………………………………………………………………………………………….
Telephone Number: …………………………………………………………………………………………………………………..
P.U. (A) 127 97
Fax No.: …………………………………………………………………………………………………………………………………….
E-mail Address: …………………………………………………………………………………………………………………………
Section B: Details of Project
Project’s Name: …………………………………………………………………………………………………………………………
Applicant’s Name: ………………………………………………………………………………....................................................
Registered Address: …………………………………………………………………………………………………………………...
Postcode: ………………………………………………………………………………………………………………………………….
Town / Mukim / Section: ………………………………………………………………………................................................
District: …………………………………………………………………………………………………………………………………….
State: ………………………………………………………………………………………………………………………………………..
Local Authority / State Government’s Reference: …………………………………………………………………….....
Section C: Details of Developer
Developer Company’s Name: …………………………………………………………………………………………………….
Address: ………………………………………………………………………………………………………………………………….
Postcode: ………………………………………………………………………………………………………………………………...
State: ……………………………………………………………………………………………………………………………………….
Telephone No.: ………………………………………………………………………………………………………………………..
Fax No.: …………………………………………………………………………………………………………………………………..
E-mail Address: ……………………………………………………………………………………………………………………….
Business Registration No.: ……………………………………………………………………………………………………….
Housing Developer Licence No.: ……………………………………………………………………………………………….
Section D: Parent Lot
Type of Title: …………………………………………………………………………………………………………………………..
Title No.: ………………………………………………………………………………………………………………………………...
Type of Lot: …………………………………………………………………………………………………………………………….
Lot / PT / Plot No.: ………………………………………………………………………………………………………………….
Mukim / Town / Section: …………………………………………………………………………………………………………
District: …………………………………………………………………………………………………………………………………..
State: ……………………………………………………………………………………………….…………………………………......
P.U. (A) 127 98
Land Area: ……………………………………………………………………………………………………………. (ha / s.m.)
Registered Land Owner ………………………………………………………………………………………………………....
Section E: Proposed Development
Sub-sector:
Residential
Commercial
Industrial
Others
Property Type: …………………………………………………………………………………………………………………….
E3
No. of Unit/ Plot: …………………………………………………………………………………………………………………..
E4
No. of Floor: …………………………………………………………………………………………………………………………
E5
Ratio of Plot/ Density: …………………………………………………………………………………………………………..
E6
Date of Approval of Planning: ……………………………………………………………………………………………….
Note:
(1) Please attach details of the project if the development consists of more than one project.
(2) Please attach a copy of the approved layout plan and development order for every development stated in this form.
I certify that the above information/details are correct.
Signature
: ……………………………………………………………
Name
: ……………………………………………………………
Designation
: ……………………………………………………………
Date
: ……………………………………………………………
Official Stamp
: ……………………………………………………………
;
P.U. (A) 127 99
FORM K
[Rule 2]
RETURN OF THE LOCAL AUTHORITY: APPROVALS OF NEW BUILDING PLAN
(This form is to be submitted to the Director General before twenty-fifth of each month)
JPPH Reference *1:______________
(For Internal Use Only)
Year :
Month :
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[Please tick (√) in the appropriate box]
Section A: Details of Local Authority
Name of Local Authority: ……………………………………………………………………………………………………………..
Address: ………………………………………………………………………………………………………………………………………..
Town: ……………………………………………………………………………………………………………………………………….....
Postcode: ……………………………………………………………………………………………………………………………………....
State: …………………………………………………………………………………………………………………………………………..
Telephone No: ……………………………………………………………………………………………………………………………...
Fax No: .………………………………………………………………………………………………………………………………………..
Email Address: …………………………………………………………………………………………………………………………….
Officer’s Name: ………………………………………………………………………………………………………………………….
Section B: Details of Developer
Name of Company/Owner: …………………………………………………………………………………………………….........
Address: ……………………………………………………………………………………………………………………………………...
Postcode: ……………………………………………………………………………………………………………………………………
State: ………………………………………………………………………………………………………………………………………….
Telephone No:…………………………………………………………………………………………………………………………….
Fax No: ……………………………………………………………………………………………………………………………………….
Email Address: …………………………………………………………………………………………………………………………….
Business Registration No.: …………………………………………………………………………………………………………..
Housing Developer’s License No: .…………………………………………………………………………………………………
P.U. (A) 127 100
Section C: Details of Project
Project Name: …………………………………………………………………………………………………..................................
Phase Name: ..............................................................................................................................................................................
Name of the Applicant/ Company: ………………………………………………………………………………………….....
Registered Address: …………………………………………………………………………………………………………………
Postcode: ………………………………………………………………………………………………………………………………..
State: ………………………………………………………………………………………………………………………………………
District: ……………………………………………………………………………………………………………………………………
Mukim / Town / Section: ………………………………………………………………………………………………………….
Local Authority Reference: ………………………………………………………………………………………………………..
Date of Approval of the Building Plan: …………………………………………….…………………………………….....
Section D: Details of Parent Lot
Type of Lot: ………………………………………………………………………………………………….....................................
Lot No: .……………………………………………………………………………………………………………………….…………...
Type of Title: …………………………………………………………………………………………………………………..............
Title No.: …………………………………………………………………………………………………………………………………
Tenure Type: …………………………………………………………………………………………………………………………..
Tenure Period: …………………………………………………………………………………………………………………………
Tenure Expiry Date: …………………………………………………………………………………………………………………
State: ………………………………………………………………………………………………………………………………………..
District: …………………………………………………………………………………………………………………………………..
Mukim / Town / Section: …………………………………………………………………………………………………………
Land Area: ……..…………………………………………………………………………………………………………(ha / s.m.)
P.U. (A) 127 101
Section E: Details of Sub-lot Property
E1. Residential
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Land
Width
(metre)
Land
Length
(metre)
Land
Restriction
Tenure
Type
Selling
Price
Property Type
Building Usage
No.of Floor
Structutre Type
Date of Approval of the Building
Plan
Date of
Launching
Date of Sales
Permit and
Advertisement
No. of Sales
Permit
No. of Bedroom
No. of Bathroom
Gross Built Up
Area (s.m.)
Strata
Building Name
No. of Level
Above Ground
No. of Level
Below Ground
No. of Lift Zone
Gross Built Up
Area (s.m.)
P.U. (A) 127 102
E2. Commercial (Shop/ Shopping Complex/ Purposed Built Office)
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Land
Restriction
Tenure
Type
Selling
Price
Property Type
Building Usage
No.of Floor
Building
Name
Structutre
Type
Date of
Approval of the
Building Plan
Date of
Launching
Ownership (Government/
Statutory Body/ Private)
For Purpose-Built
Office
Gross Built Up
Area (s.m.)
No. of Level
Above Ground
No. of Level
Below Ground
No. of Lift
No. of Lift Zone
Nett Letable Area (s.m.)
P.U. (A) 127 103
Petrol Station Facilities (For Petrol Station Only)
1.
No. of Petrol Nozzle
.................................................... unit 2.
No. of Diesel Nozzle
.................................................... unit 3.
No. of Gas LNG Nozzle
.................................................... unit 4.
Petrol Tank Capacity
.................................................... Litre 5.
Diesel Tank Capacity
.................................................... Litre 6.
Gas LNG Tank Capacity
.................................................... Litre 7.
Car Wash
Yes / No 8.
Workshop
Yes / No 9.
Convenience Store
Yes / No 10.
Fast Food
Yes / No 11.
24 hours
Yes / No 12.
Others (Please Specify)
P.U. (A) 127 104
E3. Industrial
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Lot
Width
(metre)
Lot
Length
(metre)
Restriction of the
Land
Type of
Tenure
Selling
Price
Property Type
Building Usage
No. of Floor
Building Name
Date of Approval of the
Building Plan
Date of Launching
Span (metre)
Height (metre)
Gross Built Up
Area (s.m.)
Strata
No. of Level
Above Ground
No. of Level
Below Ground
No. of Lift
No. of Lift Zone
No. of Loading
Lift
Gross Built Up
Area (s.m.)
P.U. (A) 127 105
E4. Leisure
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Land
Restriction
Tenure
Type
Selling Price
Property Type
Building Usage
No. of Floor
Building Name
Structure Type
Date of Approval of the Building Plan
Launching Date
Gross
Built Up
Area
(s.m.)
No. of
Level
Above
Ground
No. of
Level
Below
Ground
Strata
Golf
Hotel
Rating
Total No.
of Rooms
No. of Room by Room Types
Hotel Location
No. of Holes
Room Type
Room No.
P.U. (A) 127 106
Note : Attach a copy of the approved building plan for every development stated in this form.
I certify that the above information/details are correct.
Signature
: …………………………………………………………………………………………………
Name
: …………………………………………………………………………………………………
Designation
: …………………………………………………………………………………………………
Date
: …………………………………………………………………………………………………
Official Stamp
: …………………………………………………………………………………………………
;
FORM L
[Rule 2]
RETURN OF THE LOCAL AUTHORITY: APPROVAL FOR THE COMMENCEMENT OF WORK
(This form is to be submitted to the Director General before twenty-fifth of each month)
JPPH Reference *1 :______________
(For Internal Use Only)
Year :
Month :
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[Please tick (√) in the appropriate box]
Section A: Details of Local Authority
Name of Local Authority: …………………………………………………………………………………………………………….....
Address: ……………………………………………………………………………………………………………………………………......
Town: ……………………………………………………………………………………………………………………………………….......
Postcode: ………………………………………………………………………………………………………………………………………
State: …………………………………………………………………………………………………………………………………………….
Telephone No: ……………………………………………………………………………………………………………………………….
Fax No: .………………………………………………………………………………………………………………………………………....
Email Address: ……………………………………………………………………………………………………………………………….
Officer’s Name: ………………………………………………………………………………………………………………………………
P.U. (A) 127 107
Section B: Details of Developer
Name of Company/Owner: ……………………………………………………………………………………………………...........
Address: ………………………………………………………………………………………………………………………………………..
Postcode: ………………………………………………………………………………………………………………………………………
State: ……………………………………………………………………………………………………………………………………………
Telephone No.: ……………………………………………………………………………………………………………………………….
Fax No.: ………………………………………………………………………………………………………………………………………….
Email Address: ………………………………………………………………………………………………………………………………
Business Registration No.: …………………………………………………………………………………………………………….
Housing Developer’s License No. :.………………………………………………………………………………………………….
Section C: Details of Project
Project Name: ……………………………………………………………………………………………………............................
Phase Name: ..........................................................................................................................................................................
Name of the Applicant/ Company:……………………………………………………………………………………………
Registered Address: ………………………………………………………………………………………………………………
Postcode: ……………………………………………………………………………………………………………………………….
State: ……………………………………………………………………………………………………………………………………..
District: ………………………………………………………………………………………………………………………………..
Mukim / Town / Section: ………………………………………………………………………………………………………
Local Authority Reference: …………………………………………………………………………………………………….
Section D: Details of Parent Lot
Type of Lot: …………………………………………………………………………………………………….................................
Lot No.: ……………………………………………………………………………………………………………………………….….
Type of Title: …………………………………………………………………………………………………………………………..
Title No.: …………………………………………………………………………………………………………………………………
Tenure Type: …………………………………………………………………………………………………………………………..
P.U. (A) 127 108
Tenure Period: ………………………………………………………………………………………………………………………..
Tenure Expiry Date: ……………………………………………………………………………………………………………….
State: ……………………………………………………………………………………………………………………………….…….
District: …………………………………………………………………………………………………………………………………
Mukim/Town/Section: …………………………………………………………………………………………………………..
Land Area:……..………………………………………………………………………………………………………… (ha/s.m.)
P.U. (A) 127 109
Section E: Details of Sub-lot Property
E1. Residential
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Land
Width
(metre)
Land
Length
(metre)
Land
Restriction
Tenure
Type
Selling
Price
Property Type
Building Usage
No. of Floor
Structutre
Type
Date of
Approval of the
Building Plan
Date of
Commencement of Work
Date of
Launching
Date of Sales
Permit and
Advertisement
Number pf
Sales Permit
No. of Bedroom
No. of Bathroom
Gross Built Up
Area (s.m.)
Strata
Building/ Block
Name
No. of Level
Above Ground
No. of Level
Below Ground
No. of Lift Zone
Gross Built Up
Area (s.m.)
P.U. (A) 127 110
E2. Commercial (Shop/ Shopping Complex/ Purposed Built Office)
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Land
Restriction
Tenure
Type
Selling Price (RM)
Property Type
Building Usage
No. of Floor
Building/
Block Name
Structutre
Type
Date of
Approval of the Building
Plan
Date of
Commencement of Work
Date of
Launching
Ownership
(Government/ Statutory
Body/ Private)
For Purpose-Built
Office
Gross Built Up
Area (s.m.)
Strata
No. of Level
Above Ground
No. of Level
Below Ground
No. of Lift
No. of Unloading
Lift
No. of Lift Zone
Nett Letable Area (s.m.)
P.U. (A) 127 111
Petrol Station Facilities (For Petrol Station Only)
1.
No. of Petrol Nozzle
.................................................... unit 2.
No. of Diesel Nozzle
.................................................... unit 3.
No. of Gas LNG Nozzle
.................................................... unit 4.
Petrol Tank Capacity
.................................................... Litre 5.
Diesel Tank Capacity
.................................................... Litre 6.
Gas LNG Tank Capacity
.................................................... Litre 7.
Car Wash
Yes / No 8.
Workshop
Yes / No 9.
Convenience Store
Yes / No 10.
Fast Food
Yes / No 11.
24 hours
Yes / No 12.
Others (Please Specify)
P.U. (A) 127 112
E3. Industrial
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Lot
Width
(metre)
Lot
Length
(metre)
Land
Restriction
Tenure
Type
Selling
Price
Property Type
Building Usage
No. of Floor
Building/ Block
Name
Date of Approval of the Building Plan
Date of
Commencement of
Work
Date of Launching
Span (metre)
Height (metre)
Gross Built Up
Area (s.m.)
Strata
No. of Level
Above Ground
No. of Level
Below Ground
No. of Lift
No. of Lift Zone
No. of
Unloading Lift
Gross Built Up
Area (s.m.)
P.U. (A) 127 113
E4. Leisure
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Land
Restriction
Tenure
Type
Selling Price (RM)
Property Type
Building Usage
No. of Floor
Building Name
Structure Type
Building Plan
Approval Date
Commencement of Work Date
Launching Date
Gross
Built Up
Area
(s.m.)
No. of
Level
Above
Ground
No. of
Level
Below
Ground
Hotel/ Service Apartment Detail
Golf
Hotel
Rating
Total No.
of Rooms
No. of Room by Room Types
Hotel Location
No. of Holes
Room Type
Room No.
P.U. (A) 127 114
Note: Please attach a copy of the Letter of Commencement of Work for every development stated in this form.
I certify that the above information/details are correct.
Signature
:
……………………………………………………………………………
Name
:
………………………………………………………………………..…..
Designation
:
……………………………………………………………………………
Date
:
……………………………………………………………………………
Official Stamp
:
………………………………………………………………………….. ;
FORM M
[Rule 2]
RETURN OF THE LOCAL AUTHORITY: ISSUANCE OF CERTIFICATE OF FITNESS
(This form is to be submitted to the Director General before twenty-fifth of each month)
JPPH Reference *1 :______________
(For Internal Use Only)
Year:
Month :
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[Please (√) in the appropriate box]
Section A: Details of Local Authority
Name of Local Authority: ……………………………………………………………………………………………………………..
Address: ……………………………………………………………………………………………………………………………………..
Town: ………………………………………………………………………………………………………………………………………….
Postcode: ………………………………………………………………………………………………………………..………………….
State: …………………………………………………………………………………………………………………………………………
Telephone No.: …………………………………………………………………………………………………………………………….
Fax No.: .………………………………………………………………………………………………………………………………………
E-mail Address: ……………………………………………………………………………………………………………………………
Officer’s Name: …………………………………………………………………………………………………………………………..
P.U. (A) 127 115
Section B: Details of Developer
Name of Company/Owner: ………………………………………………………………………………………………………
Address: ……………………………………………………………………………………………………………………...................
Postcode: …………………………………………………………………………………………………………………………………
State: ………………………………………………………………………………………………………………………….……………
Telephone No: …………………………………………………………………………………………………………………………
Fax No: ……………………………………………………………………………………………………………………………………
E-mail Address: ……………………………………………………………………………………………………………………….
Business Registration No.: ……………………………………………………………………………………………………….
Housing Developer’s License No.: .…………………………………………………………………………………………….
Section C: Details of Project
Project Name: …………………………………………………………………………………………………….................................
Phase Name: ..............................................................................................................................................................................
Name of the Applicant/ Company: ……………………………………………………………………………………………..
Registered Address: …………………………………………………………………………………………………………………..
Postcode: …………………………………………………………………………………………………………………………….……
State: ……………………………………………………………………………………………………………………………………..….
District: ……………………………………………………………………………………………………………………………………
Mukim / Town / Section: …………………………………………………………………………………………………………..
Local Authority Reference: ………………………………………………………………………………………………………...
Section D: Details of Parent Lot
Type of Lot: ……………………………………………………………………………………………………..............................
Lot No.: ……………………………………………………………………………………………………………………….……….
Type of Title: …………………………………………………………………………………………………………………….....
Title No.: ……………………………………………………………………………………………………………………………...
Tenure Type: …………………………………………………………………………………………………………………….....
P.U. (A) 127 116
Tenure Period: …………………………………………………………………………………………………………………….
Tenure Expiry Date: …………………………………………………………………………………………………………….
State: …………………………………………………………………………………………………………………………………
District:………………………………………………………………………………………………………………………………..
Mukim/ Town / Section: ……………………………………………………………………………………………………..
Land Area:……..…………………………………………………………………………………………………… (ha / s.m.)
P.U. (A) 127 117
Section E: Details of Sub-lot Property
E1. Residential
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Land
Width
(metre)
Land
Length
(metre)
Land
Restriction
Tenure
Type
Selling
Price
Property
Type
Building
Usage
No.of
Floor
Structutre
Type
Year of
Completion
Building
Condition
Date of
Approval of
Building
Plan
Date of
Commencement of Work
Date of
Issued
Type of
CCC/
Issued
Date of
Launching
Date of Sales
Permit and
Advertisement
Sales
Permit
No. of Bedroom
No. of
Bathroom
Gross Built Up
Area (s.m.)
Strata
Building/ Block
Name
No. of Level
Above Ground
No. of Level
Below Ground
No. of Lift
No. of Lift Zone
Gross Built Up
Area (s.m.)
P.U. (A) 127 118
E2. Commercial (Shop/ Shopping Complex/ Purposed Built Office)
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Land
Restriction
Tenure
Type
Selling Price (RM)
Property
Type
Building
Usage
No.of
Floor
Building/
Block
Name
Structutre
Type
Year of
Completion
Building
Condition
Date of
Approval of
Building
Plan
Date of
Commencement of Work
Date of
Issued
Type of
CCC/ CF
Issued
Date of
Launching
Ownership
(Government/
Statutory Body/
Private)
For Purpose-Built Office
Gross Built Up
Area (s.m.)
Strata
No. of Level
Above Ground
No. of Level
Below Ground
No. of Lift
No. of Unloading
Lift
No. of Lift Zone
Nett Letable Area
(s.m.)
Nett Built Up Area (s.m.)
P.U. (A) 127 119
Petrol Station Facilities (For Petrol Station Only)
1.
No. of Petrol Nozzle
.................................................unit 2.
No. of Diesel Nozzle
.................................................unit 3.
No. of Gas LNG Nozzle
.................................................unit 4.
Petrol Tank Capacity
.................................................... Litre 5.
Diesel Tank Capacity
.................................................... Litre 6.
Gas LNG Tank Capacity
.................................................... Litre 7.
Car Wash
Yes / No 8.
Workshop
Yes / No 9.
Convenience Store
Yes / No 10.
Fast Food
Yes / No 11.
24 hours
Yes / No 12.
Others (Please Specify)
P.U. (A) 127 120
E3. Industrial
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Lot
Width
(metre)
Lot
Length
(metre)
Land
Restriction
Tenure
Type
Selling
Price
Property
Type
Building
Usage
No.of
Floor
Structutre
Type
Year of
Completion
Building
Condition
Date of
Approval of
Building
Plan
Date of
Commencement of Work
Date of
Issued
Type of
CCC/
Issued
Date of
Launching
Date Sales
Permit and
Advertisement
Sales
Permit
Span (metre)
Height (metre)
Gross Built Up
Area (s.m.)
Strata
No. of Level
Above Ground
No. of Level
Below Ground
No. of Lift
No. of Lift Zone
No. of
Unloading Lift
Gross Built Up
Area (s.m.)
P.U. (A) 127 121
E4. Leisure
Lot
Type
Lot
Title
Type
Title
Block
Unit
State
District
Mukim/
Town
Section
Address
Land
Area
(s.m.)
Lot
Width
(metre)
Lot
Length
(metre)
Land
Restriction
Tenure
Type
Selling
Price
Property
Type
Building
Usage
No.of
Floor
Structutre
Type
Year of
Completion
Building
Condition
Date of
Approval of
Building
Plan
Date of
Commencement of Work
Date of
Issued
Type of
CCC/ CF
Issued
Date of Launching
Gross
Built Up
Area
(s.m.)
No. of
Level
Above
Ground
No. of
Level
Below
Ground
Hotel/ Service Apartment Detail
Golf
Hotel
Rating
Total No.
of Rooms
No. of Room by Room Types
Hotel Location
No. of Holes
Room Type
Room No.
P.U. (A) 127 122
Note : Please attach a copy of the CCC/CF Approval Letter for every development stated in this form.
I certify that the above information/details are correct.
Signature
:
……………………………………………………………………………….
Name
:
……………………………………………………………………………….
Designation
:
……………………………………………………………………………….
Date
:
……………………………………………………………………………….
Official Stamp
:
……………………………………………………………………………… ;
FORM N
[Rule 2]
RETURN OF THE GENERAL DIRECTOR OF LANDS AND MINES/LAND OFFICE: APPROVAL FOR THE
CHANGE IN THE CATEGORY OF LAND USE
(This form is to be submitted to the Director General before twenty-fifth of each month)
JPPH Reference:______________
(For Internal Use Only)
Year:
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[Please tick (√) in the appropriate box]
Section A: Data Provider Information
Name of Land Office: ……………………………………………………………………………………………………………….......
Address: ……………………………………………………………………………………………………………………………………..
Town: ………………………………………………………………………………………………………………………………………….
Postcode: ……………………………………………………………………………………………………………………………………...
State: …………………………………………………………………………………………………………………………………………..
Name of Officer:……………………………………………………………………………………………………………………………
Telephone No: ……………………………………………………………………………………………………………………………..
Fax No.: ………………………………………………………………………………………………………………………………………..
P.U. (A) 127 123
E-mail Address: …………………………………………………………………………………………………………………………..
Section B: Details of Project
Project Name: ………………………………………………………………………………………………………………………………
Name of Applicant: ………………………………………………………………………………………....……………………………
Registered Address: …………………………………………………………………………………………………………………….
Postcode: ……………………………………………………………………………………………………………………………………
Mukim/ Town / Section: ………………………………………………………………………………………………………………
District: ………………………………………………………………………………………………………..……………………………….
State: ……………………………………………………………………………………………………………………………………………..
Land Office Reference: ……………………………………………………………………………………………………………………
Section C: Details of Parent Lot
Type of Title: ………………………………………………………………………………………………………………………………...
Title No.: ……………………………………………………………………………………………………………………………………....
Type of Lot: …………………………………………………………………………………………………………………………………..
Lot / PT / Plot No.: ………………………………………………………………………………………………………………………..
Mukim/ Town / Section: …………………………………………………………………………………..……………………………
District: ………………………………………………………………………………………………………………………………………..
State: …………………………………………………………………………………………………………………………………………...
Land Area: …………………………………………………………………………………………………………………... (ha/s.m.)
Registered Land Owner: ………………………………………………………………………………………..…………………........
Section D: Change of Category of Land Use
Existing category: ……………………………………………………………………………………………………………………
New category: …………………………………………………………………………………………………….............................
Note:
(1) Please attach details of the project if the development consists of more than one project.
(2) Please attach a copy of the approved layout plan and development order for every development stated in this form.
P.U. (A) 127 124
I certify that the above information/details are correct.
Signature
: ……………………………………………………………………………….
Name
: ……………………………………………………………………………….
Designation
: ……………………………………………………………………………….
Date
: ……………………………………………………………………………….
Official Stamp
: ……………………………………………………………………………… ;
P.U. (A) 127 125
Section B: Details of Project
Project Name: ……………………………………………………………………………………………………….......……………….
Name of Applicant: ……………………………………………………………………………………………………………………
Registered Address: …………………………………………………………………………………………………………………
Postcode: .………………………………………………………………………………………………………………………………..
Mukim/Town/Section: ……………………………………………………………………………………………………………...
District: ……………………………………………………………………………………………………………………………………
State: …………………………………………………………………………………………………………………………………………
Land Office’s Reference: .…………………………………………………………………………..………………………………..
FORM O
[Rule 2]
RETURN OF THE GENERAL DIRECTOR OF LANDS AND MINES/LAND OFFICE: APPROVAL FOR THE CHANGE
OF THE EXPRESS CONDITION
(This form is to be submitted to the Director General before twenty-fifth of each month. This form applies to land use relating to Building and Industry land use category only)
JPPH Reference:______________
(For Internal Use Only)
Year:
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[Please tick (√) in the appropriate box]
Section A: Information of Data Provider
Name of Land Office: ……………………………………………………………………………………………………………………
Address: ……………………………………………………………………………………………………………………………………….
Town: .………………………………………………………………………………………………………………………………………….
Postcode: ……………………………………………………………………………………………………………………………………..
State: ………………………………………………………………………………………………………………………………………….
Officer’s Name: ……………………………………………………………………………………………………………………………..
Telephone No.: ……………………………………………………………………………………………………………………………
Fax No.: ……………………………………………………………………………………………………………………………………….
E-mail Address: …………………………………………………………………………………………………………………………..
P.U. (A) 127 126
Section C: Details of Parent Lot
Type of Title: …………………………………………………………………………………………………………........................
Title No.: ………………………………………………………………………………………………………………………………...
Type of Lot: …………………………………………………………………………………………………………………………....
Lot / PT/ Plot No.: …………………………………………………………………………………………………………………..
Mukim/ Town/ Section: …………………………………………………………………………………………………………..
District: …………………………………………………………………………………………………………………………………..
State: ………………………………………………………………………………………………………………………………………
Land Area: …………………………………………………………………………………………………………….…… (ha/s.m.)
Registered Land Owner: ……………………………………………………………………………………………………………
Section D: Change of Express Condition
Existing Express Condition: …………………………………………………………………………………………………..
Existing Property Type: ………………………………………………………………..........................................................
New Express Condition: ……………………………………………………………………………………………………….
New Property Type: ………………………………………………………………………………………………………………
Note:
(1) Please attach details of the project if the development consists of more than one project.
(2) Please attach a copy of the approved layout plan and development order for every development stated in this form.
I certify that the above information/details are correct.
Signature
:
……………………………………………………………………………….
Name
:
……………………………………………………………………………….
Designation
:
……………………………………………………………………………….
Date
:
……………………………………………………………………………….
Official Stamp
:
………………………………………………………………………………. ;
P.U. (A) 127 127
FORM P
[Rule 2]
RETURN OF THE GENERAL DIRECTOR OF LANDS AND MINES/LAND OFFICE: APPROVAL FOR
SUBDIVISION OF LAND
(This form is to be submitted to the Director General before twenty-fifth of each month. This form applies to land use relating to Building and Industry land use category only)
JPPH Reference:_____________
(For Internal Use Only)
Year:
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[Please tick (√) in the appropriate box]
Section A: Information of Data Provider
Name of Land Office: ………………………………………………………………………………………………………………...
Address: ……………………………………………………………………………………………………………………………………
Town: ………………………………………………………………………………………………………………………………………..
Postcode: ………………………………………………………………………...………………………………………………………...
State: ………………………………………………………………………………………………………………………………………..
Name of Officer: ………………………………………………………………………………………………………………………..
Telephone No.: …………………………………………………………………………………………………………………………
Fax No.: ………………………………………………………………………..…………………………………………………………..
E-mail Address: ……………………………………….………………………...……………………………………………………….
Section B: Details of Project
Project Name: …………………………………………………………………………………………………..……………………
Name of Applicant: ……………………………………………………………………………………………….………………...
Registered Address: ………………………………………………………………………………………………………………
Postcode: ……………………………………………………………………………………………………….………………………..
Mukim/ Town/ Section: …………………………………………………………………………………………………………
District: …………………………………………………………………………………………………………………………………
State: …………………………………………………………………………………………………………….……………………….
Land Office’s Reference: …………………………………………………………………………………….……………………
P.U. (A) 127 128
Section C: Details of Parent Lot
Type of Title: ……………………………………………………………………………………………………………………………
Title No.: …………………………………………………………………………………………………………………………………..
Type of Lot: ……………………………………………………………………………………………………………………………..
Lot / PT / Plot No.: …………………………………………………………………………………………………………………...
Mukim/ Town/ Section: …………………………………………………………………………………………………………….
District: ……………………………………………………………………………………………………………………………………
State: …………………………………………………………………………………………………………………………………………
Land Area: ………………………………………………………………………………………………………………….. (ha/s.m.)
Registered Land Owner: ……………………………………………………………………………………………………………..
Section D: Subdivision
Category of Land Use: …………………………………………………………………………………………………………........
Property Type: ………………………………………………………………………………………………………………………...
No of Unit/Block: ………………………………………………..…………………………………………………………………....
Total Area: ………………………………………………………………………………………………….………… (ha/s.m. )
Note:
(1) Please attach details of the project if the development consists of more than one project.
(2) Please attach a copy of the approved layout plan and development order for every development stated in this form.
I certify that the above information/details are correct.
Signature
:
……………………………………………………………………………….
Name
:
……………………………………………………………………………….
Designation
:
……………………………………………………………………………….
Date
:
……………………………………………………………………………….
Official Stamp
:
………………………………………………………… ; and
P.U. (A) 127 129
FORM Q
[Rule 2]
RETURN OF THE DIRECTOR OF LANDS AND MINES/LAND OFFICE: APPROVAL FOR SURRENDER AND
RE-ALIENATION OF LAND
(This form is to be submitted to the Director General before twenty-fifth of each month)
JPPH Reference:__________
(For Internal Use Only)
Year:
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[Please tick (√) in the appropriate box]
Section A: Information of Data Provider
Name of Land Office: …………………………………………………………………………………………...………………...........
Address: …………………………………………………………………………………………………………..……………….................
Town: ………………………………………………………………………………………………………………………………………...
Postcode: ……………………………………………………………………………………………………..…………………..................
State: ……………………………………………………………………………………………………………………………...................
Name of Officer: …………………………………………………………………………………………………………………............
Telephone No.: ……………………………………………………………………………………………………………………...........
Fax No.: ……………………………………………………………………………………………………………………………................
E-mail Address: ………………………………………………………………………………………………………………..................
Section B: Details of Project
Project Name: ………………………………………………………………………………………………………...……………...........
Name of Applicant: …………………………………………………………………………………………………....…………….......
Registered Address: ……………………………………………………………………………………………………………….........
Postcode: ……………………………………………………………………………………………………………..…………….............
Mukim/ Town/ Section: ………………………………………………………………………………………………………….......
District: …………………………………………………………………………………………………………………………………........
State: ………………………………………………………………………………………………………………………………................
Land Office’s Reference: ……………………………………………………………………………………….………………........
P.U. (A) 127 130
Section C: Details of Parent Lot
Type of Title: ………………………………………………………………………………………………………..…………….........
Title No.: ……………………………………………………………………………………………………..….……………................
Type of Lot: ……………………………………………………………………………………………………………………................
Lot / PT / Plot No: ………………………………………………………………………………………………….…………………..
Mukim/ Town/ Section: ………………………………………………………………………………………………...…………..
District: …………………………………………………………………………………………………………………...………………
State: …………………………………………………………………………………………………………………………..…………….
Land Area: ………………………………………………………………………………………………………………... (ha /s.m.)
Registered Land Owner: ………………………………………………………………………………………..……..…………..
Section D: Details of Land Re-Alienation
Category of Land Use: ……………………………………………………………………………………………………………….
Property Type: ……………………………………………………………………………………………………………..…………..
No of Unit/Block: ………………………………………………..……………………………………………………………………..
Total Area: ………………………………………………………………………………………………………………... (ha /s.m.)
Note:
(1) Please attach details of the project if the development consists of more than one project.
(2) Please attach a copy of the approved layout plan and development order for every development stated in this form.
I certify that the above information/details are correct.
Signature
:
………………………………………………………………………………..
Name
:
………………………………………………………………………………..
Designation
:
………………………………………………………………………………..
Date
:
………………………………………………………………………………..
Official Stamp
:
………………………………………………………………... .”.
P.U. (A) 127 131
Made 31 Mei 2018
[JPPH: IP BP175/493/1/1; MOF(S)100-1/2/17; PN(PU2)379/VIII]
LIM GUAN ENG
Minister of Finance