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RESIDENCE VERIFICATION FORM

DBL-05-12-2018-75
Securitas Reference No.

Mr. Vaghela Bharat


Candidate Name

Mr. Vaghela Harshad Bhai, Vaghela Harshad Bhai, H.No. 2846, Rampura Gram -Chaklashi, Nadiad,
Address Chaklashi, Kheda, Gujarat - 387315,Kheda,8345887518

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IKYA-06-12-2018-109
Securitas Reference No.

Ms. Avani Dharmeshbhai Patel


Candidate Name

Mr. Dharmeshbhai T Patel, 2/A, Mahesh Park, B/H Baliydev Temple, Karamsad Anand, Gujarat -
Address 388325,Anand,9979433327

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IKYA-06-12-2018-109
Securitas Reference No.

Ms. Avani Dharmeshbhai Patel


Candidate Name

Mr. Dharmeshbhai T Patel, 5/2 - 808, Taxshila Appt. Near Bugban Party Plot, Sindhubhan Road,
Address Ahmedabad, Gujarat - 380015,Ahmedabad,9979433327

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-599
Securitas Reference No.

Mr. Gohel Umang


Candidate Name

, Opp Nobal School NarodaH. No. 12-188, Shiv Appartment Ahmedabad,


Address Gujarat,Ahmedabad,9537921048

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-598
Securitas Reference No.

Mr. Smitesh Dutt


Candidate Name

, Subhash BridgeH. No. 11/F, Mahaprakash Appartment Ahmedabad,


Address Gujarat,Ahmedabad,8160126506

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-597
Securitas Reference No.

Mr. Parmar Rohanbhai Lalajibhai


Candidate Name

, Gopalnagar, RandipH. No. B/4 Ahmedabad, Gujarat,Ahmedabad,9898770867


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-596
Securitas Reference No.

Mr. Vishal Mukeshbhai Patni


Candidate Name

, Near Rameshwar Cross Road, MeghaninagarH. No-45, New Sugarnagar, Ahmedabad,


Address Gujarat,Ahmedabad,8487861369

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-594
Securitas Reference No.

Mr. Prajapati Krunal


Candidate Name

, Opp Vishramnagar Gurukul RoadH. No. F/1, Neeldeep Flat, Ahmedabad,


Address Gujarat,Ahmedabad,9638474355

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-593
Securitas Reference No.

Mr. Manoj Omprakash Sharma


Candidate Name

, Near Railway Colony, SabarmatiH. No D-72, Sarvottam Nagar Ahmedabad,


Address Gujarat,Ahmedabad,9374153641

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-579
Securitas Reference No.

Mr. Shaikh Shahjad Ahemad Zafir Ahemad


Candidate Name

, Jethlaj Malekvas Jethalaj Gandhinagar, Gujarat,Gandhi Nagar,9867120188


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-181
Securitas Reference No.

Mr. Rabari Vivek


Candidate Name

, Satellite, Ambawadi Vistar, H.No. B-115, Falgun Tenament,Jodhpur Gam Road Ahmedabad,
Address Gujarat,Ahmedabad,6352851185

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-179
Securitas Reference No.

Mr. Durgawali Chirag


Candidate Name

, Near Water Tank, Khokhra, H.No-574F, Khokhra Railway Colony Ahmedabad,


Address Gujarat,Ahmedabad,8866734543

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-176
Securitas Reference No.

Mr. Goswami Sanket Ghanshyampuri


Candidate Name

, Near Gaurinagar Ghalodiya, H. No. 93, Arti Appartment Ahmedabad,


Address Gujarat,Ahmedabad,7778984441

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-173
Securitas Reference No.

Mr. Jokhiya Sarfraj Ramjanbhai


Candidate Name

, Rajula Amreli, H. No -3, Oase Gondra Chowk, Ahmedabad, Gujarat,Ahmedabad,7046164346


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-899
Securitas Reference No.

Mr. Pal Sujitkumar


Candidate Name

, H. No. 40, Gokulnagar, Khodiyarnagar, T B Nagar Ahmedabad, Gujarat,Ahmedabad,8000247170


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-898
Securitas Reference No.

Mr. Rabari Ishvarbhai Sendhabhai


Candidate Name

, S/o Sendhabhai Rabari Vas Mehsana, Chhatasanateh. Bechraji, Mehsana,


Address Gujarat,Mahesana,8980178605

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-896
Securitas Reference No.

Mr. Chauhan Amitsinh


Candidate Name

, Flat VastrapurH.No. A-31,Vidhyanagar Ahmedabad, Gujarat,Ahmedabad,7778988354


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-895
Securitas Reference No.

Mr. Yadav Parikshit Sanjaykumar


Candidate Name

, JashodanagarH. No 17-534, Shahri Garib Avas Yojna Ahmedabad,


Address Gujarat,Ahmedabad,8401422287

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-894
Securitas Reference No.

Mr. Sadik Anvarhusen Shaikh


Candidate Name

, Ahmedabad G.P789, Changiz Pole Dabgarvad, Dariyapur Ahmedabad,


Address Gujarat,Ahmedabad,9375226265

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-893
Securitas Reference No.

Mr. Barot Parth


Candidate Name

, S/o Maheshbhai, Near Radha Krishna Temple , Thaltej, Barotvas Ahmedbad,


Address Gujarat,Ahmedabad,8141314541

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-832
Securitas Reference No.

Mr. Priteshsinh Ranjitsinh Vaghela


Candidate Name

, Vidaj Vachalovas Mahesana, Gujarat,Mahesana,9723568264


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-785
Securitas Reference No.

Mr. Chauhan Hardik Kumar


Candidate Name

, Mahebubpura NavapuraS/O Chauhan Bhagvandas Ahmedabad, Gujarat,Ahmedabad,9870064695


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-782
Securitas Reference No.

Mr. Yadav Sandeep


Candidate Name

, AsarvaGokul Chand Kastur Chand Ni Navi Chali Ahmedabad, Gujarat,Ahmedabad,7801928982


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-781
Securitas Reference No.

Mr. Thakkar Bhavik


Candidate Name

, Mahesana Harwye, Hariji PatanH. No B-5, Madhuvan Society Ahmedabad,


Address Gujarat,Ahmedabad,9998909555

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-779
Securitas Reference No.

Mr. Ahir Manoj


Candidate Name

, AsaravaNew Laxminagar , Opp Gooda Camp Ahmedabad, Gujarat,Ahmedabad,9662278284


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-776
Securitas Reference No.

Mr. Saiyad Abdulvahab Abdulkadar


Candidate Name

, Shahalalmni Dargah Pase, Chandola RoadH. No 18/20, Makdum Colony Ahmedabad,


Address Gujarat,Ahmedabad,9662981296

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-774
Securitas Reference No.

Mr. Hiren Dipakbhai Jadhav


Candidate Name

, B/H Azad Soc Vastrapur , Ambawadi VistarH. No 1, Ts. No.1, Near Himmatlal Park Ahmedabad,
Address Gujarat,Ahmedabad,7778881009

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-765
Securitas Reference No.

Mr. Patel Sumitkumar Jayantibhai


Candidate Name

, SabarkanthaS/O Patel Jayantibhai Sherpur Idar Ahmedabad, Gujarat,Ahmedabad,8849975918


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-764
Securitas Reference No.

Mr. Hemanshkumar Dharmeshkuma Mojidra


Candidate Name

, Near Gayatrinagar SocietyH.No. 47, Gujraj Society, Chandlodla Ahmedabad,


Address Gujarat,Ahmedabad,9825305276

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-763
Securitas Reference No.

Mr. Joshi Jigarkumar


Candidate Name

, Mahesana Harwye, Hariji PatanS/O Mahendrakumar, Madhuvan Society Ahmedabad,


Address Gujarat,Ahmedabad,9898984181

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-762
Securitas Reference No.

Mr. Rajput Rajan Dilipsinh


Candidate Name

, Vatva Crossing Vatva DaskroiH.No. 456/15, Sadbhavna Nagar Ahmedabad,


Address Gijarat,Ahmedabad,9924101633

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-761
Securitas Reference No.

Mr. Thakkar Janakkumar Navinchandra


Candidate Name

, Pavapuri Circle, GhatlodiaH. No. A-18, Subhash Residency Ahmedabad,


Address Gujarat,Ahmedabad,9998177262

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-749
Securitas Reference No.

Mr. Khatri Shailesh Jagdishbhai


Candidate Name

, Khambhat370 Daglapol, Khambhat Anand, Gujarat,Anand,8758781429


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-745
Securitas Reference No.

Mr. Shah Riddhish Vipulkumar


Candidate Name

, Opp Taluka Panchayat, VisnagarH. No-2, Mangalam Appartment, Station Road Mahesana,
Address Gujarat,Mahesana,9558477316

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-742
Securitas Reference No.

Mr. Vipul Premabhai Parmar


Candidate Name

, DahegamH. No-. 14, Parmar Vas, Near Primary School Jaliya No Math Gandhinagar,
Address Gujarat,Gandhi Nagar,9924751687

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-741
Securitas Reference No.

Mr. Koshti Jigneshkumar


Candidate Name

, B/h Sindhwai Temple Ramol, Amrawadi54 Ambanagar Ahmedabad,


Address Gujarat,Ahmedabad,8141910564

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-739
Securitas Reference No.

Mr. Panchal Ronak Kanubhai


Candidate Name

, Opp. Hajipura Gardeen Shahibag RoadGopaldas Khemchand Blocks, Ahmedabad,


Address Gujarat,Ahmedabad,9725785921

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-738
Securitas Reference No.

Mr. Patel Dipendra


Candidate Name

, Meghaninagar, Civil HospitalH.No. 105/2498, Gujarat Housing Board, Sag Market Ahmedabad,
Address Gujarat,Ahmedabad,9974980905

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-733
Securitas Reference No.

Mr. Pal Manjokumar Dharamsingh


Candidate Name

, Near Vinzol Crossing Road, VinzolH.No. C-12, Sukhsagar Society Ahmedabad,


Address Gujarat,Ahmedabad,9662261926

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-732
Securitas Reference No.

Mr. Parmar Chirag


Candidate Name

, Odhav, Odhav Industrail Estate89, Amarnagar Society, Near Matruchaya School Ahmedabad,
Address Gujarat,Ahmedabad,7405372925

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-730
Securitas Reference No.

Mr. Solank Kiran


Candidate Name

, Near Orange Mall,ChandkhedaH. No. 301, Ratnakalash Appartment Ahmedabad,


Address Gujarat,Ahmedabad,9725515885

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-729
Securitas Reference No.

Mr. Saiyed Kadri Ahmedshah Kamalibaba Sadrud


Candidate Name

, Kanch Ni Masjid, JamalpurH. No. 1500 Nani Chalisgra Ni Pole Ahmedabad,


Address Gujarat,Ahmedabad,9712947091

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-727
Securitas Reference No.

Mr. Sankpal Jaydeep


Candidate Name

, Chamanpura, AsarvaH.No 78-69-3,Ramchandra Colony Ahmedabad,


Address Gujarat,Ahmedabad,8200103948

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)


RESIDENCE VERIFICATION FORM

IDSL-07-12-2018-689
Securitas Reference No.

Mr. Sanjay Sahu


Candidate Name

, 365 Pahanda Durg Patan Gujarat,Patan,7869044277


Address

Verified Information

Date and Time of Visit

Any change in above Address (Yes/No).

If Yes –Please mentioned the complete address

Land Mark

Locality

Accommodation Type (Rented/Owned/PG)

Duration of Stay
Building/House/Flat Color

Flat / House
ID proof (Ration Card/Pan card/DL/ Passport, Voter
Card etc) details - Plz collect the Xerox copy or take the
picture of the same
Above mentioned details respondent by (Respondent
Name)

Respondent Signature

Respondent relationship with the candidate

Contact no. of Respondent

Police station Name

Any Additional Remarks

Securitas Verifier Details

Verification Exe Name

Verification Executive ID No.

Respondent Acknowledgement

Thank you for your valuable response. Please note that the cost of this verification is paid by the employer and no

money/allowance/ gift etc is required to be paid to verification executive. In case the verifier asks for any money, please call
immediately on at 08586972184 or write subhash.priyadarshi@securitas-india.com (Plz don’t give any money) (ककककक

ककक कककक कक कक)