HkkMsd:pk

QksVks
izfr]
Bk.ks izHkkjh]
----------------- iksyhl Bk.ks-
fo"k; %& ?kj HkkM;kus nsrkauk iksyhl Bk.;kl dGfo.;kph ekfgrh-
egksn;]
mijksDr fo"k; o lanHkkZUo;s vkEgh [kkyhy lgh dj.kkj ?kj ekyd o HkkMsd:] ?kj HkkM;kus fnysckcr
[kkyhyizek.ks ekfgrh lknj djhr vkgksr-
1- ?kjekydkps uko o iRrk (i)
Qksu@eksckbZy uacj] O;olk;- (ii)
(iii)
(iv)
2- HkkM;kus fnysY;k tkxspk iRrk-

3- HkkMsd:ps uko] o;] iwohZpk jkg.;kpk (i)

iRrk] o ewG xkopk iRrk] laidZ Øekad] (ii)
eksckbZy uacj] bZ&esy- (iii)
(iv)
(v)
(vi)
4- ,taVps ukao] iRrk] ewG xkopk iRrk] (i)
laidZ Øekad] Qksu@eksckbZy uacj] (ii)
bZ&esy ¼ykxw vlsy rsFks½ (iii)
(iv)
(v)
(vi)
5- okLrO;kpk dkyko/kh-
6- HkkMsd:ph ekfgrh- 1½ HkkMsd:pk iklikVZ lkbZt QksVks ¼,d½
2½ HkkMsd:ps vksG[ki= ¼Mªk;fOgax yk;lUl fdaok vk/kkjdkMZ]
fdaok bysD’ku dkMZ fdaok ikji= izr½
3½ HkkMsd: dksBs uksdjh@dke djrks R;k laLFksps iw.kZ uko]
iRrk] Qksu o QWDl Øekad] bZ&esy-
4½ R;k laLFkse/;s dk;Zjr vlY;kckcr laLFksp i=-
mijksDr ekfgrh vkEgh lR; fnyh vkgs] lnj ekfgrh pwdhph vk<Gwu vkY;kl vkEgh dk;ns’khj dkjokbZl
ik= vkgksr-
Lok{kjh ?kjekyd Lok{kjh HkkMsd:
fnukad

vki.k ^^mumbaipolice.maharashtra.gov.in** ;k lad a srLFkGke/khy “Headlines” - ‘Inform Police

Station about rental house’ ;ko#u gk QkWeZ MkÅuyksM d#u ‘kdrk--
 Photograph
of tenant

To,
Officer- In-charge ,
----------------- Police Station

Sub :- Intimation to the Local Police Station about renting house.

Sir,
With reference to the above noted subject, we, the undersigned house owner and tenant
are submitting details about renting the house, as follows.

1. Name of the House owner and (i)

address, Landline/Cell Number, (ii)
Occupation. (iii)
(iv)
2. Address of house, given on
rent.

3. Name of the tenant, age, (i)

previous and native place (ii)
address, Contact Number, (iii)
Mobile Number, E-mail. (iv)
(v)
(vi)
4. Name of the agent, address, (i)
Native place address, Contact (ii)
Number, Mobile Number, E- (iii)
mail. (wherever applicable) (iv)
(v)
(vi)
5. Period of stay.
6. Information about tenant. 1) Passport size photo of tenant (One)
2) Identity of Tenant (Copy of Driving Licence or Aadhar
card or Election Card or Passport)
3) Name, address, contact number, fax number, E-mail of
the organization of the service/job of tenant.
4) Letter issued by the organization regarding present
employment of the tenant where the tenant works.

The abovesaid information is true, if found false, we are liable for legal action as per law.

Signature of house owner Signature of Tenant

Date

You can download this form from “mumbaipolice.maharashtra.gov.in” website, under the
“Headlines” - ‘Inform Police Station about rental house’