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which area of domestic help like :-

(i) Cookinq ,-".;~::~i~~:~ii".?O":'


(ii) Dusting & Utensil cleaning,
(iii) Outdoor wo~~ o;;',;f5i
(iv) Attending guestjvisitors
. {v), Attending Pho~'~,:~1~;;
.
(vi) Any oth.er(PleaS~~p;~ifyJ.
".' :::,;\'~,,~~;:f~;;:~¥~2
: i':
r~ .
1.3, pES-eRIPTION OF EMPLOYEE

(i) Height '. (ii)}~u.iJ.:t . (Hi) Eyes


(iv)Ha~~~,' , (v) Complexion (vi)
."
Tatoo Marks
(vii) Other identification Marks
(viil) Deformity or peculiarity if any
'<-';,~~.-,.~ .'\
(ix) Pctwords of spe<:ch_;,.\:t~.:: ', (x) Physical Built

s";~~~l~;i~ ..
. -/;"- '.,' .: " .~-': .

(x)
Handwrttinq

(xi) Signature of the em?~oy~~!~e.ryant


.-:.:~ .- ~~:-".':"'::~-.'.~.:>.~~
..,:."jl"."; :\ Y-..: \.' . ~.
.;::=;, '~', ',.::>~:...~:. ~,.

., ~":" ','

~,' .'~ .~

. :. - .'~ .;~.

Narne, Address & TelephoncI\Ip,;, ."

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16. DETAiLS OF m'.iPLOYER

Name, Address & Telephone No:

',"

._.-po -:; •••••

Signature of the Employer


'\,
\.
". ,.
\,

PART- n ~A
FINGER PRINT llvlPRESSION OF EMPLOYEE/SERVANT
(voluntarily given to the employer)
(To he filled up by Employer only)

1. Fu.IJname with aliases

2. Father's or husband's Name

3. AddTCSS

4. Police Station SI. No ..

FINGl:."R PRINL IMPRESSION OF SERVA.. rrlEmLOYEE


.I..••.•

i ·~~iglli:.TllUmb Right Index:


. RICHfl~.t.J'.tD
dt~
.R}gF~ffid ~ight Ring I Right r ltt.le
I
I
i I
I
I r
I 'i
iI I
I !

LEFT HAND
Left. r.i.tUc Left, Ring Left; 'Middle' Left Index' Left Th urnb .1
i
I
\ l
i
i
i

I

Signature of employee

Signature of employer
~?A
.R
. T 11

LE~ HpJ~D H~~·101{?~:.~~o.;N:.9~:. £.MT'LG~E


T~~~.,~:E~Vi,u·~rfl
Plain prints or four f1]lg\~TS t:,;r, tnumbs taken srmultaneously

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