DELHI POLICE

FORMAT FOR INFORMATION OF TENANTS

1.

Name of Landlord
__________________________________________________
Occupation with
Details office, phone no. _______________________________________________

2.

Address _____________________________________________________________
Phone No. ___________________________________________________________

Particulars of tenant to whom premises let out

PHOTO
1.

Name __________________________Fathers Name _________________________

OF

2.

Occupation with details of office phone number ______________________________

TENANT
_____________________________________________________________________
_____________________________________________________________________

3.

Age ___________Family Members:

Name Age

Relationship

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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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