...... (Deceased) WHO DIED INTESTATE ON ...................................................
Probate Matter no ..... Vol ...
I/We the undersigned being the heirs to the estate of the above-named deceased, do hereby voluntarily and irrevocably give my/our full consent to the grant of the Letter of Administration for the estate of the deceased to: ... .. No
Full Name
Signature of Witness: Name of Witness: NRIC No: Designation: Address:
I/C No
Relationship
Signature/ Thumbprint
. . . . . . .
Date: *Witness should be S.A.O/D.O/Magistrate/Advocate