Draft particulars
Tenant police verification form
Police station: ____________________ · Date: __________
1. Landlord
Name: ____________________
Father / spouse: ____________________
Address: ____________________
Phone: ____________________
Identity proof: ____________________
2. Tenant
Name: ____________________
Father / spouse: ____________________
Age: ____________________
Gender: ____________________
Permanent address: ____________________
Phone: ____________________
Occupation: ____________________
3. Workplace
Employer: ____________________
Designation: ____________________
Address: ____________________
Phone: ____________________
4. Tenancy
Premises: ____________________
From: ____________________
To: ____________________
Monthly rent: ____________________
5. References
1. Name: ____________________
Address: ____________________
Phone: ____________________
2. Name: ____________________
Address: ____________________
Phone: ____________________
The landlord and the tenant state that the particulars above are true to their knowledge. Photographs and original identity proofs are to be shown at the police station. This sheet does not record that verification has been granted.
Landlord signature
____________________
Tenant signature
____________________
Reference signatures
____________________
Receiving officer
____________________