Tenant / PG Verification Request(Modification)

ͩ€šȡ™ȯ‘ȡš ×™ȡ”“\“ǕšȪ’
 ȲžȪ’“

Tenant Verification Request Number

ͩ€šȡ™ȯ‘ȡš‡ȡȱ…\“ǕšȪ’ Ȳ District
ǔ‡›ȡPIMPRI-CHINCHWAD

Date
Ǒ‘“ȡȲ€ Police Station
ȡ“ȡWAKAD

1. Owner detail
˜ȡͧ›€€ȡͪšŽ

a) Name
“ȡ˜Danish Taqvi

b) Occupation
噝 ȡ™EMPLOYED IN PRIVATE c) Email ID
_˜ȯ›]_ŒȢ
FIRMS

d) Mobile No.
˜Ȫ–ȡ^› Ȳ

e) Landline / Other Contact No.

›ɇŒ›ȡ^“\ۙ Ȳ”€[ Ȳ

f) Address
”ȡG 1101, Dynasty, Kaspate Wasti, Pune, WAKAD, PIMPRI-CHINCHWAD, MAHARASHTRA-411057,INDIA

2. Tenant Details
ͩ€šȡ™ȯ‘ȡš€ȡͪšŽ

a) Name
“ȡ˜prateek b) Wife's Name
…ȯ“ȡSurabhi

c) Occupation
噝 ȡ™EMPLOYED IN PRIVATE FIRMS d) Age
]™ǕYears 6 Month

e) Landline No.
›ɇŒ›ȡ^“ Ȳ f) Mobile No.
˜Ȫ–ȡ^› Ȳ

g) Purpose of tenancy
ͩ€šȡ™ȯ‘ȡšȣ€ȡ`Ƨȯæ™Residential h) Gender
ͧ›Ȳ‚Male

If commercial, please Provide details

™Ǒ‘å™ȡ”ȡǐš€ȪͪšŽĤ‘ȡ“€šɅ

i) Address
”ȡ

S. No. Address Type

”ȡ€ȡ Address
”ȡ Name of Police Station(ȡ“ȡ€ȡ

Đ Ȳ
Ĥ€ȡš “ȡ˜
1 Present Address Pune,WAKAD,PIMPRI-CHINCHWAD,MAHARASHTRA,INDIA WAKAD

2 Permanent Address indore,BHAWARKUWA,INDORE,MADHYA PRADESH,INDIA BHAWARKUWA

j) Previous Address
ͪ”†›ȡ”ȡ

a) Address
”ȡ,INDIA

b) Date of Occupancy
\ͬ’—Ȫ‚€ȧǑ‘“ȡȲ€ c) Date of Leaving
†Ȫ°“ȯ€ȧǑ‘“ȡȲ€

3. Family Member Details

”ǐšȡš€ȯ ‘虀ȡͪšŽ

a) Name
“ȡ˜surabhi

b) Relationship with the Tenant

ͩ€šȡ™ȯ‘ȡš€ȯ ȡ Ȳ–Ȳ’Wife c) Mobile No.
˜Ȫ–ȡ^› Ȳ

d) Any other Contact Number

€Ȫ_\ۙ Ȳ”€[ Ȳ e) Landline No.
›ɇŒ›ȡ^“ Ȳ

f) Age
]™ǕYears 4 Month

g) Address Verification Document

”ȡ ×™ȡ”“‘èȡȯ«

i) Identification Type
”¡…ȡ“Ĥ€ȡšAny Other

ii) Identification No.

”¡…ȡ“ Ȳ

h) Any Other
€Ȫ_\ۙ

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 i) Photo of the Tenant
ͩ€šȡ™ȯ‘ȡš€ȧ•ȪŠȪ

j) Scan Copy of the Identity Documents

”¡…ȡ“‘èȡȯ‡ɉ€ȧè€Ȱ“€Ȩ”Ȣ

S. No.
Đ Ȳ File Name
¹ȡ^›€ȡ“ȡ˜ Description
ͪšŽ

1 pan card.jpg pan

k) Application Submission Date

]ȯ‘“ĤèǕ€š“ȯ€ȧǑ‘“ȡȲ€

4. Affidavit
ž””ğ

a) Do you have any criminal record or any criminal proceeding against you or your family in any part of the country? If Yes, Provide details
șȡ]”™ȡ
]”€ȯ”ǐšȡš€ȯͨ›ȡ•‘ȯž€ȯͩ€ Ȣ—Ȣ—ȡ‚˜Ʌ]”šȡͬ’€ǐš€ȨŒ[™ȡ€Ȫ_]”šȡͬ’€€ȡ™[ȡ¡ȣ¡Ȱ!™Ǒ‘¡ȡȱͪšŽ‘ȯNo

b) All the information provided above is true

a”š‘ȣ‚_ —Ȣ‡ȡ“€ȡšȣ ¡ȣ¡Ȱ

Report Printed on
ǐš”ȪŠ[˜ǕġŽ€ȧǑ‘“ȡȲ€ Signature
¡èȡ¢š

Report Printed by
ǔ‡ €ȯɮȡšȡǐš”ȪŠ[˜ǕǑġiprateek Name
“ȡ˜

Rank
”‘

No.
 Ȳ

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