kirayedar form

DELHI POLICE

FORMAT FOR INFORMATION OF TENANTS

1. Name of Landlord __________________________________________________Occupation with Details office, phone no. _______________________________________________

2. Address _____________________________________________________________

Phone No. ___________________________________________________________

Particulars of tenant to whom premises let out

1. Name __________________________Father’s Name _________________________

2. Occupation with details of office phone number ______________________________

_____________________________________________________________________

_____________________________________________________________________

3. Age ___________Family Members: Name Age Relationship

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

4. Present Address __________________________________________________________

5. Previous residence address _________________________________________________and telephone no. date of leaving _________________________________________________

6. Permanent address andtelephone number _________________________________________________

_______________________________________________________________________

7. Details of either any one of the followingPassport, Driving License, Arms License, Ration Card, Voter Card, Income Tax (Pan No.) _______________________________________________

_______________________________________________________________________

Signature of landlord

--------------------------------------------------------------------------------------------

PHOTO

OF

TENANT

ACKNOWLEDGEMENT

Receiver from Shri / Smt. ______________________S/o _________________________

R/o ______________________________________________Ph. No.________________

Intimation of letting out _________________________to Shri _____________________

S/o _______________________________

Date Diary No. Signature of Recipient _______________________

Name & Designation ________________________

Police Station __________________Seal: