Questionnaire Form

Select date

Notice number

Email Address

What is the predominant use of the property? Please Select Commercial Residential Industrial Educational Government Institution Religious Mixed Other

For other property usage, please indicate

What evidence do you have to support the ownership of the property? Please Select Certificate of Occupancy Deed of Assignment Deed of Sublease Letter of Allocation Instrument of Conveyance Purchase Receipt Will or letter of Administration None of the above

Please indicate your Building/Development Approval Registraion Number

If none of the above, please provide information on evidence of ownership of the property

What is the nature of occupation of the property? Please Select Occupied solely by the owner Occupied fully by third party Occupied partly by owner and third party Occupied purely by commercial entity Vacant Under Construction Under Developed Parcel None of the above

If none of the above, please provide information on the nature of occupation

What is the nature and type of structure of your property? Please Select Semi Detached Mansion Duplex Block of Flats Block of Luxury Flats Bungalow Shopping Mall/Plaza Hotel, Guest House etc Petrol Station Undeveloped Plots None of the above

If none of the above, please provide information on the structure of the property

Signature

Please enter your full name

ATTACHMENTS(optional and must be in JPEG format)

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