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ͩȡȯȡ ×ȡ\ǕȪ
Date
ǑȡȲ Police Station
ȡȡ
1. Owner detail
ȡͧȡͪ
a) Name
ȡ
b) Occupation
å ȡ c) Email ID
_ȯ]_Ȣ
d) Mobile No.
Ȫȡ^ Ȳ
f) Address
ȡ
2. Tenant Details
ͩȡȯȡȡͪ
a) Name
ȡ b) Father's / Husband's Name
ͪȡǓȡȡ
c) Occupation
å ȡ d) Age
]Ǖ
e) Landline No.
ɇȡ^ Ȳ f) Mobile No.
Ȫȡ^ Ȳ
g) Purpose of tenancy
ͩȡȯȡȣȡ`Ƨȯæ h) Gender
ͧȲ
i) Address
ȡ
j) Previous Address
ͪȡȡ
a) Address
ȡ
b) Date of Occupancy
\ͬȪȧǑȡȲ c) Date of Leaving
Ȫ°ȯȧǑȡȲ
a) Name
ȡ
f) Age
]Ǖ
i) Identification Type
¡
ȡĤȡ
h) Any Other
Ȫ_\Û
Page 1 of 2
S. No.
Đ Ȳ File Name
¹ȡ^ȡȡ Description
ͪ
4. Affidavit
ğ
a) Do you have any criminal record or any criminal proceeding against you or your family in any part of the country? If Yes, Provide details
Èȡ]ȡ
]ȯǐȡȯͨȡȯȯͩ ȢȢȡɅ]ȡͬǐȨ[ȡȪ_]ȡͬȡ[ȡ¡ȣ¡Ȱ!Ǒ¡ȡȱͪȯ
Report Printed on
ǐȪ[ǕġȧǑȡȲ Signature
¡èȡ¢
Report Printed by
ǔ ȯɮȡȡǐȪ[ǕǑġ Name
ȡ
Rank
No.
Ȳ
Page 2 of 2