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JAIPUR POLICE

FORMAT FOR INFORMATION OF TENANTS


1. Name of Landlord _______________________________________________ PHOTO
Occupation with
Details office, phone no. _____________________________________________ OF
2. Address __________________________________________________________
TENANT
___________________________________Tele. No._______________________

Particulars of tenant to whom premises let out


1. Name __________________________Father’s Name _________________________
2. Occupation with details of office phone number ______________________________
_____________________________________________________________________
_____________________________________________________________________
3. Particular of family member:-
S.No. Name Age Sex Relation
1-
2-
3-
4-
5-
4. Present Address __________________________________________________________
5. Previous residence address __________________________________________________
and telephone no. date of
leaving _________________________________________________
6. Permanent address and
telephone number _________________________________________________
_______________________________________________________________________
7. Details of either any one of the following
Passport, Driving License, Arms License,
Ration Card, Voter Card,
Income Tax (Pan No.) _____________________________________________________
_______________________________________________________________________

Signature of landlord

ACKNOWLEDGEMENT
Receiver from Shri / Smt. ______________________S/o _________________________
R/o ______________________________________________Ph. No.________________
Intimation of letting out _________________________to Shri _____________________
S/o _______________________________

Date Diary No. Signature of Recipient _______________________


Name & Designation ________________________

Police Station __________________Seal:

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