12 BATALIAN

BMCPAC 105/1

Residence Verification Report

Date Of Application
Application No.

MRS.MANJU GOSWAMI CO/A MR.VEDANT GOSWAMI

H.No.14 RAILWAY STATION MISHRA BUILDING MORADABAD
9917415517

Name of Applicant
Residence Address
Telephone Number
Address Confirmed
Date Of Visit

YES

No

15.06.2015
The Following Information Is to be obtained form appllicant or any body residing at the address:

Person Contacted-MRS.MANJU GOSWAMI

Date of Appointment/Age of Applicant-APPROX 45 YEARS
Educational Qualification- M.A ,B.Ed
Residential status
Self owned
Owned by relatives
Rented
Yes
Paying Guest
Owned by parents
Owned by friends
Company Accommodation
lodging
Present Vehicle
2 Wheeler
Owned
Car
Financed
Others
Co-Provided
If Availed finance please specify financer name:
Loan NoAsset EMI -

Relation with applicant - SELF

No.of yrs at current residence- APPROX 35 YRS

How co-operative was the customer

Rude

Neighbourhood Check
Positive

Polite

Marital Status
SingleNo,of family membersWorkingDependents AdultsChildren-

Married4
2
2
2
Is Spouse Working
NO

Negative

Checked with (1)-MR.ASHOK KUMAR

(2) MR.AJAY MALHOTRA
.
Carpet Area in Sq. Ft. (Approx)

Construction Of Residence

Comments on Exteriers

PAKKA
Interior Conditions

GOOD
Assets Seen at Residence

Picture/Portriat of Political Leadre Seen

Painted
Clean

Television
Refrigerator

Yes

Carpetted
Curtains
Sofa
Venetion Blinds
Remarks: OK

Music System
2 Wheeler (Regis#)

Does the applicant stay at the residence

APPROX 1000 SQ MT.

No-

Car (Regis#)
Air Conditioner

Yes

Approximate Time when Applicant is Available at home

RECOMMENDED

Approximate age of ApplicantNo. of family members in the house-

Any other remarks:Residence Remarks- 1:-Our executive visited at the above said address, and he met with Mrs.Manju Goswami applicant who stated that she is living in
rented house since 35 yrs her neighbours also confirmed that she is living at the above said address. There are total 5 members in her family including her
during the visit it is found that the main gate of the house was in brown and the wall was in yellow colour.
Agency Managers
Verifier Signature
Comments and Route Map Overleaf
IF VERIFIED BY LIC HFL

Official

Official's Signature & Degignation

TELE-VERIFICATION REPORT RESIDENCE/OFFICE TELEPHONE

Date Of Application

Application No.

Name of Applicant
Date of Birth
Name of Co-Applicant
Residence Address of Applicant
Parmanent Address of Applicant

MRS.MANJU GOSWAMI
17.04.1959
MR.VEDANT GOSWAMI
H.No.86
H.No.14 RAILWAY
STATION MISHRA BUILDING MORADABAD
PRATIBHACOLO
SEC-16-B
/77 NAYA MORADABAD (29.70 MT.)
NY BANNA DEVI
Residence
Office
G.T ROAD
9917415517
8859188326
ALIGARH
MR.VEDANT GOSWAMI
MRS.REENA

Contact Telephone Number

Name of person Spoke to
Relation with Applicant

SELF

Name of Company
Nature of Business

Working Since
Designation
Department

Attempt
Date Of Calling
Time Of Calling
OUT COME

ASST.TEACHER

PRIMARY SCHOOL CHAK HABIBPUR DINGERPUR MORADABAD

ARMY
Resi
1 st
15.06.2015
11.00 A.M.
C

Resi
2 nd

Resi
3 rd

SERVICE
APPROX 4 YEARS
HEAD TEACHER
EDUCATION

Office
1 st
15.06.2015
12.30 P.M.
C

Office
2 nd

Office
3 rd

TELE-VERIFICATION OF GAURANTOR & REFERENCES

Name
Telephone No.
Relation With Applicant
How Many Year they Know Applicant
Employement Detail
Whether he is Guarenter for any other loan
Whether he is aware of his liability as Gaurantor
Whether Guarenteer is aware of Applicants
Loan Quantum/ EMI etc

Gaurantor
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A

Reference 1

Reference 2

MR.INDU SINGH

MR.PRADEEP THAKUR

9927053366
RELATIVE
BY BIRTH

9837251757
RELATIVE
BY BIRTH

TELE CALLING LOG

Attempt
1 st
Date Of Calling
15.06.2015
Time Of Calling
12:30 P.M.
OUT COME
C
Outcome: C(Contacted),CE(Constantly Engaged),NR(No Response)
Other Remarks
Tele Verification Result
Verifiers Name/Signature & Agency Seal

2 nd

Positive

Negative
Agency Manager's Signature

Comments
Both the refernces are verified

IF VERIFIED BY COMPANY
Officials

3 rd

Official's Signature & Degignation

EMPLOYMENT VERIFICATION REPORT

Name of Applicant
Address
Address Confirmed
Date Of Visit

MR.VEDANT GOSWAMI
PRIMARY SCHOOL CHAK HABIBPUR DINGERPUR MORADABAD
Designation

applicantTEACHER .

Yes

of the
HEAD

15.06.2015

Following are based in information obtained from H.R./Authorized Executoive of the Organization.
Person Contacted- MRS.REENA
TELE-NO.
Number of the Year Present
Employment;- APPROX 4 YEARS

Designation of Person Contacted- ASST.TEACHER

Ext. No.MOBILE NO-8859188326
Visit Card
Obtained

Name Of Organization :

Yes(Attach the visiting card with this

report)

No

PRIMARY SCHOOL CHAK HABIBPUR DINGERPUR MORADABAD

No. Of Employees In Office:

No. Of Branches:
Type Of Job Applicant
Parmanent:
Probation:
Contract Worker:
Temprorary Worker

Assistant
Cleark
Typist
Stenographer
Skilled Labour

DETAILS OF SALARY VERIFIED FROM

SALARY RECEIVED BY
CHEQUE
SALARY RECEIVED.

Applicant Working As
Supervisor
Junior Management
Senior/ Middle Management
Other G.D.

MRS.REENA
CASH
APRROX-RS: (G) 30,700/-

Applicant job Transferable

YES

BANK ACCOUNT

RECOMMENDED
Remarks:- The salary slip which we received is correct.
Office Remarks:-In his investigation of office of applicant our investigator met with Mrs.Reena who confirmed that Applicant
works in the above mentioned office address from the last 4 years as A head teacher and the total number of the office staff are
4.

Verifier's Name

Agency Seal

Agency Manager

VERIFICATION REPORT FORMAT FOR BANK PASSBOOK / STATEMENTS

To,
The Area Manager,
LIC Housing Finance Ltd.,
Dear Sir
Sub: Bank Verification Report
Ref:
Applicant
Name
Name of the bank
Branch & Address
A/c No. And Type of account
Status
Any Other Debits Noticed.
(Nature of Debits/Amt of Debit)
CD's Noticed
(Yes/No)
Frequency
Type (Inward/Outward)

Co-applicant
MR.VEDANT GOSWAMI
PRATHMA BANK
RAMPUR ROAD MORADABAD
20004545099 SALARY A/C

Positive
NO

NO
ACCORDING TO THE PASSBOOK THE

Remarks

GIVEN STATEMENTS ARE TRUE.

I certify that the details are correct and I have verified the attached statement/passbook from bank.

Yours faithfully,

Authorised Signatory .