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INDICATION OF INTEREST
V21 RESIDENCE, PHASE 1, STAGE 1
(To be completed by interested parties only, strictly no booking fee allowed to be collected)
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* Indicates required question
CUSTOMER'S DETAILS:
Name:
*
Your answer
Native/Bumiputera Status:
*
YES* (To provide certified true copy document upon booking of Bumi lot)
NO
Required
New NRIC / Old NRIC / Passport No.:
*
Your answer
Address:
Your answer
Telephone / Handphone No.:
*
Your answer
Email:
*
Your answer
BLOCK/FLOOR/PARCEL DETAILS:
Unit Type:
Example: 3 rooms type A
Your answer
Block No.:
01, 02, 03A, or 06
Your answer
Level/Floor:
Example: 11th floor
Your answer
Unit:
Example: 06-11-02
Your answer
Selling Price:
Your answer
Purchase to be financed by:
Example: Own: 20%, Bank: 80%
Own: %
Your answer
Bank: %
Your answer
GENERAL QUESTIONNAIRE FOR SURVEY PURPOSES:
*
Are you interested to have a second covered car park with an additional cost of Rm23,500?
Yes
No
Required
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