Your Full Name

 

Name / Company's

 

IC No.

 

Address

 

Contact No.

 

Fax No.

I/We hereby appoint JB JURUNILAI BERSEKUTU SDN BHD to prepare a Report & Valuation of the following:-

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PROPERTY INFORMATION

Address

 

Type Of Property

 

Lot No.

 

Title No.

 

Mukim

 

District

 

State

 

VALUATION INFORMATION

 

Purpose of Valuation

 

Contact Person

 

Tel. No (Office)

 

Tel. No (Home)

 

Mobile No.

 

Fax No.

 

Deposit Collected

 

Documents Provided

 

Financial Institutions

I/We understand that the full fees are payable upon completion of the Report & Valuation and the report will only be released upon full settlement of the fees. I/We also agree that the full fees is payable regardless of the value arrived at.

 

 

Note:-

* Deposit is not refundable.