( House Owners: form) Dates f 12014 | To The Sr. Police Inspector Hijwadi police Station pune city. Applicant ( House Owners ) ~ P.A.H. Nam Add = ~ Age: Mob no. E Mail ID: Sub — To submit information regarding House Tenant /occupant Respected sir, I ne undersigned am staying at above add am. having miy owned /relatives house /flat at - ] have rented/leased this house /flat to following bachelor /family and I have gives details in prescribed format which is attached with this letter . i request you to keep information to your record . Sr Tenants Name ‘Age | Male | Mobile No ‘Add. No [Female i 5 + 3 4 5 | 6 | Thanking you Your faithfully