[Heading inserted: No. 19 of 2010 s. 38(6).]
Application has been made to bring the land hereunder described under the
Transfer of Land Act 1893 on a title claimed by possession ( insert if
applicable “as to part”).
The number of the application is
Date of lodging in Authority
Name address and occupation of applicant
Land applied for.
( Here insert description the same as in advertisement .)
Dated this day of
( Signature of applicant or his agent .)
[Third Schedule amended: No. 81 of 1996 s. 147;
No. 60 of 2006 s. 118(1).]