Form C - Application For A Cancellation, Reduction, Waivers And/Or Postponement Of A Registered Charge
Title
Building Entry Point Name
(For Office use)
LRC Number:
Date:
Payment:
Received by:
Application For Reference Of Charge
Nature Of The Application
List Of Documents Submitted With This Application:
Declaration Of Applicant:
I hereunder signed, declare that all that is stated in this Form A and as far as I know is true, and that I have verified the relative documents, and that there is no fact that I know of that is contrary to that brought in the documents.
Signature and name in block letters