TRIPURA POLICE

FORMAT FOR INFORMATION OF TENANTS*

1. Name of Landlord __________________________________________________

2. Address _____________________________________________________________

3. Phone No. ___________________________________________________________

Particulars of tenant to whom premises let out

PHOTO
1. Name & Age__________________________
OF
2. Father’s Name _________________________
TENANT
3. Occupation & Office address ______________________________

4. Telephone No. ___________

Family Members: Name Age Relationship JOINT PHOTO

_____________________________________________________ OF

_____________________________________________________ TENANT’S FAMILY MEMBERS

_____________________________________________________

5. Previous residence address _________________________________________________

and date of leaving

6. Permanent address _________________________________________________

_______________________________________________________________________

7. Details of any one (I Card, Driving License,

Ration Card, Voter Card, PAN No.)_________________________________

Signature of Tenant Signature of landlord

*1.Use additional form, if required. 2.Use separate form for each tenant if the tenants are not family members but staying together
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ACKNOWLEDGEMENT
Received from Shri / Smt. _____________________________ Date______________Diary No. _____________

Intimation of letting out _________________________to Shri ________________________________________

Name, Design. & Sign. of Recipient with PS/OP Seal _______________________