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HARYANA POLICE Tenant Verification Form (Fill this form and submit it to your local Police Station) Tenant's Name in full (with alias, if any) Father's Name —— Place and Date of Birth Languages Spoken (with dialect) Permanent Address P.O. PIN Particulars / Details of Ration Card /|- card / Driving License, if any Name and address of friends / relatives and other associates locally present 8. Name and Addresses of previous landlord 9. By whom introduced to the landlord, name and address of the surety 10. Date since living as tenant 11. _ Employment details (Office address): 12. Personal description : i) Height ii) Build ii) Hair iv) Complexion v)__ Identification marks vi) Deformity or peculiarity, if any vii) Signature of the tenant Name and address of the landlord Date : Photograph of Tenant (with family) Tenant should sign across the picture

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