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Landlord Information Form

Particulars of Landlord/Owner
Full Name (Expanded Initials)
Photo
Father (Full Name)

Occupation
Address
H.No. Police station
Sector/Locality/Village
Phone Number Police Post
Sex Age Caste
Particulars of family members residing with the owner
S.No. Name Age Sex Relation Occupation
1
2
3
4
5
6
7
8
9
10
Particulars of Tenants recorded on: Book No. _______ Form No.________

Particulars of Employees recorded on: Book No. _______ Form No.______

Form filled up by
Name Designation Signatures (With Date)

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