PERSONAL INFORMATION OF TENANT/TEMPORARY RESIDENT

Photo of Tenant

1 : Name of the Flat Owner -----------------------------------------------------------------------------------------------------

2: Address --------------------------------------------------------------------------------------------------------------------------

3: Name of Tenant ----------------------------------------------------------------------------------------------------------------

Present address of Tenant --------------------------------------------------------------------------------------------------

4 : Period (since when he has been staying at present address)

5 : Police Station

6: Permanent address Police Station

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7 : Date of Birth --------------------------------------------------------------------------------------------------------------------

8 : Place of Birth -------------------------------------------------------------------------------------------------------------------

9 : Present Age ---------------------------------------------------------------------------------------------------------------------

10 : Previous address ------------------------------------------------- Police station ----------------------------------------

11 : Name of Father ----------------------------------------- Occupation of Father --------------------------------------

12 : Occupation of the Tenant -------------------------------------------------------------------------------------------------

13 : Address of the Business/Services :

Designation : ------------------------------------------------------------------------------------------------------------------

Period of Services : -----------------------------------------------------------------------------------------------------------

14 : Identification Marks : -------------------------------------------------------------------------------------------------------

15 : Name and address of two persons living in Pune city known to Tenant

1 .----------------------------------------------------------------------------------------------------------------------------------

2. ----------------------------------------------------------------------------------------------------------------------------------

16 : Details of any Police case against the Tenant

1: --------------------------------------------------------- Certify that the above particulars are correct and true

Date : ----------------------------------------------------

Place : ----------------------------------------------------

Name & Signature of Tenant

(Note : Please enclose letter from employer, Identity card i.e. MDL/PASSPORT/I-CARD/PANCARD..etc..)