Police Verification Report Form
[Pages:2]POLICE VERIFICATION REPORT (APPLICATION FORM) To
The Superintendent of Police, District Police Office, Ambala.
Subject: Application for Employee/Tenant Verification Sir,
It is requested that the character and antecedents of my employee/tenant may be verified and their Police Verification Report may be issued to me. My personal particulars & those of my employee/tenant are as follows: Particulars of Employer/Landlord Full Name (Expanded Initials)
Address
Phone
Particulars of Employee/Tenant Full Name (Expanded Initials) Alias (If any) Father (Full Name)
Spouse (Full Name)
Occupation
Photo
Nationality
Sex
Age
Caste
H.No. Sector/Village/Locality Police Station District & State
Permanent Address
Proof of Identity (Voter Card/ Driving Licence/ Ration Card etc)
Local (Current) Address
Residing at current address since
Nature of Employment (Domestic Servant/ Shop Employee/ Industrial Worker/ Chowkidaar/ Dhobi/ Tradesman/
Craftsman etc. )
Place of Work
Nature of Employment Address
Particulars of Previous Employment
Particulars of Previous Employer
S.No. 1 2 3
Particulars of relatives residing locally
Name & Father's Name
Occupation & Local Address
Date:
(Signature of Applicant)
Documents attached:
................
................
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