IN THE HIGH COURT OF MALAYA AT SHAH ALAM

IN THE STATE OF SELANGOR DARUL EHSAN

ORIGINATING SUMMON NO.

IN THE ESTATE OF (NAME OF DECEASED) (NRIC NO. ) DECEASED

GRANT OF PROBATE
BE IT KNOWN that at the date hereunder written the Last Will and Testament (a copy whereof

is hereunto annexed) of (name of deceased) late of (last address), deceased who died on the

…….. day of ………….. 20…. at (address of place of death), leaving property situated within

the jurisdiction of this Court, was proved before this Court, and that the administration of all

and singular the movable and immoveable property at this deceased situated within the

jurisdiction was granted by this Court to (name of executor) of (address of executor), named in

the said Will he being first sworn well and faithfully to administer the same, by paying the just

debts of the deceased and the legacies contained in his Will and to render a just and true account

thereof whenever lawfully required.

Dated the …………… day of …………… 20……

…………………………..
Registrar
High Court of ………

Date of issue: The …………… day of …………… 20……

…………………………..
Registrar
High Court of ………