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Tenant Information & Police Verification Form
To: The Station House Officer (SHO), Koramangala Police Station, Bengaluru City
Sir / Madam,
I, Rajesh Varma (Contact: +91 98450 12345), hereby furnish the particulars of the tenant residing at my premises House No. 128, 5th Main, 4th Block Koramangala, Bengaluru - 560034 for verification and official records:
Affix Recent Passport Photo
| Full Name of Tenant: | Rohit Kulkarni |
| Father's / Guardian Name: | Anand Kulkarni |
| DOB & Gender: | 1998-07-14 | Male |
| Mobile & Aadhaar: | +91 97654 32109 | Aadhaar: XXXX-XXXX-8921 |
| Permanent Address: | Plot 42, Anand Nagar, Kothrud, Pune, Maharashtra - 411038 |
| Occupation / Employer: | Software Engineer at Infosys Ltd. (Electronics City Phase 1, Hosur Road, Bengaluru - 560100) |
| Emergency Reference: | Amit Joshi (Colleague) (+91 99887 66554) |
Tenant Declaration: I hereby declare that the particulars given above are true and correct to the best of my knowledge and belief. I have no criminal record nor have any criminal proceedings pending against me in any court of law in India.
Owner Declaration: I have verified the original Aadhaar and ID proof of the tenant before inducting them into the tenancy.
Signature of Tenant
Signature of Landlord
Police Station Seal & Signature