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    Form REN 01 New REN Registration

    Uploaded by

    Suffian Micky
    Suffian Bin Micky is applying for registration as a negotiator with The Board of Valuers, Appraisers, Estate Agents and Property Managers. He is employed by Uaua Agency and his supervising registrant is John Tan. The application form requires information about his personal details, employment, and declaration that he meets the requirements to register as a negotiator. His employer, Uaua Agency, must also certify the accuracy of the information provided in his application.

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    Download as PDF, TXT or read online from Scribd

    Form REN 01 New REN Registration

    Uploaded by

    Suffian Micky
    28 views2 pages
    Suffian Bin Micky is applying for registration as a negotiator with The Board of Valuers, Appraisers, Estate Agents and Property Managers. He is employed by Uaua Agency and his supervising registrant is John Tan. The application form requires information about his personal details, employment, and declaration that he meets the requirements to register as a negotiator. His employer, Uaua Agency, must also certify the accuracy of the information provided in his application.

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    REN registration

    Original Title

    Form-REN-01-New-REN-Registration

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    © © All Rights Reserved

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    Suffian Bin Micky is applying for registration as a negotiator with The Board of Valuers, Appraisers, Estate Agents and Property Managers. He is employed by Uaua Agency and his supervising registrant is John Tan. The application form requires information about his personal details, employment, and declaration that he meets the requirements to register as a negotiator. His employer, Uaua Agency, must also certify the accuracy of the information provided in his application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views2 pages

    Form REN 01 New REN Registration

    Uploaded by

    Suffian Micky
    Suffian Bin Micky is applying for registration as a negotiator with The Board of Valuers, Appraisers, Estate Agents and Property Managers. He is employed by Uaua Agency and his supervising registrant is John Tan. The application form requires information about his personal details, employment, and declaration that he meets the requirements to register as a negotiator. His employer, Uaua Agency, must also certify the accuracy of the information provided in his application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    FORM REN 01

    THE BOARD OF VALUERS, APPRAISERS, ESTATE AGENTS AND


    PROPERTY MANAGERS
    A-19-13A, Tower A, Level 19, Menara UOA Bangsar, No. 5 Jalan Bangsar Utama 1,
    Bangsar, 59000 Kuala Lumpur
    Tel: 03-2288 8815/16/17 | Fax: 03-2288 8819 | Website: http://www.lppeh.gov.my

    APPLICATION FOR REGISTRATION AS NEGOTIATOR


    New REN Registration

    PART 1 : PERSONAL INFORMATION

    Suffian Bin Micky


    Full Name (As in NRIC) …………………………………………………………………………………….………………
    Name on Business Cards ……………………………………………….…. Gender ………………………………
    Date of Birth ………………………………………….. Place of Birth …………………………………….………..
    NRIC No. ………………………………………………………..... (New) ………………………………….……..(Old)
    Nationality ………………………………………………. *Passport No. …………………………………….. *Expiry …………………………
    Permanent Residential Address …………………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………………………….
    ………………………………………………………………………… Postcode ……………………………. State ……………………………………..
    Correspondence Address (if different from the above) ………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………………………….
    ………………………………………………………………………… Postcode ……………………………. State ……………………………………..
    H/P No. (1) .………………………………………… H/P No. (2) …………………………………….. Office …………………………………………
    Uaua
    Email Address …………………………………………………………………………………………………………………………………………………….
    Highest Academic Qualification Obtained ………………………………………………………………………………………………………….
    …………………………………………………………………………………………………………………………………………………………………………….

    PART 2 : EMPLOYMENT INFORMATION


    Name of Registered *Agency / Company …………………………………………………………………………………………………………..
    …………………………………………………………… Board Reg. No. ……………………………………. Year Joined …………………………..
    Name of *Supervising Registrant ……………………………………………………………………. Board Reg. No. ………………………..
    Office Address ……………………………………………………………………………………………………………………………………………………
    ………………………………………………………………………… Postcode ……………………………. State ……………………………………..
    Tel. No. …………………………………………………………. Email ………………………………………………..………………………………………

    * Delete whichever is not applicable


    ** Supervising Registrant shall refer to the Registrant whom the Negotiator reports to.
    FORM REN 01

    PART 3 : DECLARATION BY APPLICANT (NEGOTIATOR)


    To : The *Principle / Director,
    Name of *Agency/Company ……………………………………………………………………………………………………………………………….
    Board Reg. No. ………………………………………………….. Branch (If Applicable) …………………………………………………………
    Address ……………………………………………………………………………………………………………………………………………………………..
    I, the undersigned, hereby apply for registration as a Negotiator and do declare that;
    a) I have attained the age of 18 years and am of sound mind, good character and have not been
    convicted of any offence involving fraud, dishonesty or moral turpitude during the TWO years
    immediately before the date of this application; and
    b) I am not an undischarged bankrupt
    I attach herewith a copy each of the following :-
    a) Certified true copy of my Identity Card
    b) Latest passport size photograph
    c) Letter of Engagement
    d) Certificate of Attendance No. ………………………………….. issued by …………………………………………………………
    …………………………………………………………………………………………………………………………………………………………….
    I am fully aware and informed of the Malaysian Estate Agency Standards, the Rules and the Valuers, Appraisers
    & Estate Agents Act 1981 (as amended 2012) and shall strictly adhere to it.

    Date ………………………………………………… ………………………………………………………………….


    Signature of Negotiator

    PART 4 : CERTIFICATION BY REGISTERED AGENCY / COMPANY


    We, the undersigned, hereby certify that all the information provided by the above named applicant is true
    and correct. This applicant is the ………………….. / *20/30/50 negotiators under my supervision.

    …………………………………………………………………………. ………………………………………………………………………….
    SECTION 1 : Signature of Principle / Company Director SECTION 1 : Signature of Principle / Company Director
    Name : Name :
    Reg. No : Reg. No :
    Date : Date :
    Company Stamp : Company Stamp :

    SIGNATORY INSTRUCTION:
    Where the Supervising Registrant is the SAME person of the Principle/Company Director, only ONE signatory on SECTION 1 shall suffice
    Where the Supervising Registrant is NOT the Principle/Company Director, both SECTION 1 and SECTION 2 signatories are required.

    FOR OFFICE USE ONLY


    Date of application received …………………………………………………………… Document Checklist :

    Register Entry Date …………………………………………………………………………. Application Form


    Verified by …………………………………………. Date …………………………………. Photograph
    Copy of Identity Card
    Approved by ………………………………………. Date …………………………………. Certificate of Attendance (NCC)
    Issued by ……………………………………………. Date …………………………………. Letter of Engagement from current employer

    REN Tag No ………………………… Card Serial No …………………………………..


    REN Tag Delivery Date …………………………………………………………………….
    Remarks …………………………………………………………………………………………………………………………………………………………………………………

    * Delete whichever is not applicable


    ** Supervising Registrant shall refer to the Registrant whom the Negotiator reports to.

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