Subject Application for Police Verification Report ... - Haryana Police
To
Deputy Commissioner of Police,
Hqrs, Gurugram.
3.5mm3.5mm
Subject
Application for Police Verification Report (PVR).
Photo
Self-Signature
1. Name of Applicant (Block Letters)
2. Father/ Husband Name
3. Address to verified (with period)
4. Police Station
5. Permanent Address.
6. Mobile No.
7. Purpose for PVR
Signature of Applicant
Application Fee
An all-inclusive fee of Rs. 500/- has to be deposited with application form against proper receipt. A copy
of this receipt must be attached with the application form.
Documents Required
The following documents must be attached along with the application form:
Copy of any two of the following (POI) Proof of identity of Gurugram address and any two of (POR) Proof of residence of
Gurugram address to be verified, of the individual whose verification has been sought.
(POI) Proof of identity
Aadhar Card
(POR) Proof of residence
Electricity/Water bill provided by DHBVN/MCG/GMDA OR
Electricity/Water/Society Maintenance bill provided by the
Developer.
Voter Card
Copy of Notarized Rent agreement of 11 months OR registered
agreement more than 12 months.
Passport
Telephone Bill ( Landline or Post Paid Mobile Bill )
Driving License
Proof of Gas Connection.
Haryana Residence certificate
Income Tax Assessment order.
Any Govt. ID Card
Certificate from Employer of reputed companies on letter head.
Photograph Passbook of Running bank account ( Scheduled Verification Request letter from employee to DCP/CP GGM
Public Sector Banks Scheduled Private Sector Banks and (Compulsory for Employee verification).
Regional Rural Banks Only)
Parivar Pehchan Patra(PPP)
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