Form 30C [Section 416] - Application For Substituting Name of

National Land Code
Act No 56 Of 1965
FIRST SCHEDULE
Form 30C [Section 416] - Application For Substituting Name of Transferee
For That Of Transferor In A Document Of Entitlement
National Land Code
Form 30C
(Section 416)
APPLICATION FOR SUBSTITUTING NAME OF
TRANSFEREE FOR THAT OF TRANSFEROR IN
A DOCUMENT OF ENTITLEMENT
Whereas ................................... of .......................... is the holder of ....................... [Here insert
description and details of the entitlement.]
[Here insert name of holder.]
And whereas by virtue of section ................................. of ............................... [Here insert
appropriate law] the said .......................... [Here insert description and details of the entitlement]
was vested in me:
Now, therefore, I, ........................ of ........................... [Here insert name of applicant] hereby
apply for the said .......................
................................................................. [Here insert description of the document conferring the
entitlement] to be amended by substituting therein my name for the above mentioned holder
thereof.
*2. 1 annex hereto the said document mentioned in the foregoing paragraph.
*3. The said document is held by ........................ of....................... [Here insert name] by reason
of his being ....................................
.......................................................... [Here state whether relevant document is held as holder of
the entitlement or under ant other circumstance] and he has failed to deliver it to me although
required by me in writing to do so. Copies of the correspondence in relation to such request are
annexed hereto.
*4. I have made enquiries from the holder of the said document and have been informed that the
whereabouts of the said document are not known, and I have been unable to locate the same.
Dated this............. day of............ 19.........
..................................................................
Signature of (or other form of execution)
execution by) *applicant/person
lawfully authorised to act on
behalf of applicant
Note: Where the signature or other form of execution is of a person lawfully authorised to act on
behalf of the applicant, the nature of his authority and how it is derived should be stated below the
signature.
_________
For Official Use Only
I am *satisfied/not satisfied that a statutory vesting of .......................................... in respect of
which this application is made has been effected in favour of the applicant*(a) and direct that name of the applicant be substituted in the .................... for the name
of the present holder;
*(b) for the following reasons.............................
...........................................
...........................................
and, accordingly, the application is rejected.
L.S. .................
Registrar
__________
*Delete as appropriate.
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