RESIDENCE VERIFICATION FORMAT- SALARIED

Customer Name DOB- / / Age

Address
Landmark City
Distance from Dlr to app. Resi kms Telephone

Product/ Model Tenure: mths Loan Amt

PRODUCT

Purpose of Purchase: Self use Son Spouse Parent Relatives Gift Dowry Friend

Product Delivered Yes No If Yes_______Days Dealers Name

Accessibility Easy Difficult Untraceable Type of Locality Posh / Medium / Poor

DETAILS

House Condition Good Average Poor Std of Living Good / Average / Poor

Type of House Bunglow Row House Flat Chawl others

PER SONAL

Ownership: Owned Rented Co-provided others

Accomodation With Parents \ Relatives \ Nuclear Family \ Bachelor \ Shared accomodation

Staying Since Yrs mths. Rent Paid Rs. p.m

Marital Status Single Married No. of Family Members Dependents

EMPLOYMENT DETAILS &

Earning Members Father / Mother/ Son / Daughter / Brother / Sister / Spouse / No one other than applicant

If yes,Employment Details:

Vehicle Owned:
Name of the employer Working since Yrs Mths
Nature of Business Designation
Address
Tel No. Extn No. Net salary / Net profit
Person Contacted Verifier Name
CONTACT DETAILS

Relation with applicant Signature

Sign of the Person Contacted
Seal
Neighbour's Verification: Yes No
Neighbour's FeedBack:- FI Fired Date & Time
FI Done Date & Time
OVERALL STATUS : POSITIVE NEGATIVE
I recommend this case on the basis of
FI STATUS

Reason for Negative FI:

1. Poor living Condition
2. NTA /Negative Area
3. Door Locked
9. Any Other Reason
*Roadmap & Nearest Landmark overleaf Mandatory
4. Person does not exist 7. Address not Traceable/not exist
5. Not ready to cooperate 8. Details Mismatch / Negative Info
6. Defaulter / Bad market reputation