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MISSION REGISTRATION SECTION BLOCK PARCEL I/WE of as personal representative (s) of (deceased) HEREBY APPLY to be registered by transmission as proprietor(s) in place of the deceased of his/her interest in the land comprised in the above mentioned title, and in support thereof attach the Grant as required by Section 116 of the Registered Land Law (2004 Revision). Date this day of Signed by the Representative in the presence of:- 201 .

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