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Police verification of Property

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To,                                                             

The Inspector of Police,                                        Photograph of the Tenant/ Paying

_____________ Police Station,                             Guest / Licensee

Mumbai

Pine Code - __________.

 

         Subject : Particular of the tenant / paying guest / licensee

 

1       Name and Address of         : ------------------------------------------------------------------

         premises owner /                   ------------------------------------------------------------------

         licensor

 

2       Name and Address of         : ------------------------------------------------------------------

         the premises let out /             ------------------------------------------------------------------

         rented

 

3       Name and Address of         : ------------------------------------------------------------------

         the premises let out /             ------------------------------------------------------------------

         rented

 

4       Native place address           :

         of the tenant / paying             a. Village : ----------------------------------------------------

         guest / licensee

                                                        b. Local Police Stn.: ----------------------------------------

                                                        c. Local Rly. Stn.: -------------------------------------------

                                                        d. Tal.: --------------------------------------------------------

                                                        e. Dist: -------------------------------------------------------

                                                        f. State: -------------------------------------------------------

 

5        Previous address of          : -------------------------------------------------------------------

          the Consecutive stays         -------------------------------------------------------------------

 

6        Place of work / Tel           : -------------------------------------------------------------------

          No. of tenant / paying         -------------------------------------------------------------------

          guest / licenses

 

7        Name and Address of       : -------------------------------------------------------------------

          two references in city          -------------------------------------------------------------------

 

8        Family member name       : -------------------------------------------------------------------

          and address, relations          -------------------------------------------------------------------

 

9        Details of Estate                : -------------------------------------------------------------------

          Agent                                   ------------------------------------------------------------------

 

 

10      Details of Vehicles            : ------------------------------------------------------------------

          used by tenant /                   -------------------------------------------------------------------

          paying guest / licensee

 

The particulars of the tenant / paying guest / licensee furnished above are true to the best of my knowledge and record.

I am aware that falsehood of any of these details shall entail criminal prosecution against me as per law.

 

                (Signature)                                                                             (Signature)

 

 

Tenant / Paying Guest / Licensee                                             Owner / Landlord / Licensor 

 

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