– …………………………… Kepada : Pendaftar Hakmilik Negeri Perak / Pentadbir Tanah Daerah ……………….. Saya / Kami ………………………………………………………………………………………. ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… yang beralamat di ……………………………………………………………………………….. ……………………………………………………………………………………………………… …………………. dengan ini memohon bahawa *kepentingan (yang tak dipecahkan...
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