PERSONAL INFORMATION OF TENANT/TEMPORARY  RESIDENT

 

 1)  Tenant’s/Occupant’s Name & Address:

 
 
2)  Duration at present Address:
 
 
3)  Jurisdiction of Police Station :
 
 
4)  Permanent Address:
 
 
5)  Tenant’s/Occupant’s Date of Birth:
 
 
6)  Place of Birth:
 
 
7)  Present Age:
 
 
8)  Details of Earlier Residential Addresses Till Date:
 
     a) Place                        b) Time                     c) Jurisdiction Of Police Station
 
 
 
 
9)  Father’s Name ,Address and Occupation:
 
 
 
10)  Present Occupation:
 
 
11)  If employed
 
       a) Where                  b) Since  when                        c) Time
 
 
 
12)   Identification Mark:
 
 
13) Name And Address of Two Respectable citizens of Pune Police
      Commissionerate Known to Tenants/Occupants
 
          1:
         
 
         2:
 
14)   Details Of Criminal Offences Registered:
         a) Name of Police Station:
         b) C. R. No. and Section:
         c) Whether arrested:
         d) Present status of case:
 
     
 
          I, The Tenant/Occupant do state on solemn affirmation that
   the above depicted information is true and correct.
 
 
         Place:                                                               
 
         Date:                                                       Tenant’s/Occupant’s Signature
 
      (Note:-Please enclose letter from employer, copies of photo Identify card i.e.
       MDL/PASSPORT/I-CARD/PAN CARD ETC)