| (To be field by House Owner & submitted to Area Police Station/Post)
1.House Owner Name _________________________________________Age______
Fathers Name _________________________________________________
Address:_____________________________________________________
______________________________________________________
______________________________________________________
Tel Nos. ___________________________________________________________
2.Tenants Name :______________________________________________
________________________ Age:________: Tenant Photo:
Fathers Name :__________________________________________________
Address :______________________________________________________
_______________________________________________________
______________________________________________________
3.Permanent address of Tenant: _______________________________________
4.Monthly Income _______________________________________________
5.Vehicle Details : ___________________________________________________
6.Any Crime History : ______________________________________________
7. NAME OF TENANTS FAMILY MEMBERS:
S.No. NAME RELATION AGE OCUPATION MONTHALY CRIMNAL VEHICAL
INCOME HISTORY DETAILS
1.
2.
3.
4.
5.
TENANTS
SIGNATURE / THUMB IMPRESSION
HOUSE OWNER
SIGNATURE/ NAME
| 