Issued by Districtshoofd van Bintan. Printed land grant in two columns, Latin script on the left-hand side and Arabic script on the right-hand side of the paper, both in Malay. Filled in with black ink: data of the owner of the land, measurements; margins torn, repaired by using tape. Paper is brownish and contains a violet oval stamp of the Head of District of Bintan. The second page contains a sketch map of the location with measurements signed by the surveyor.