Gautam Budh Nagar Police Verification Form(UP Police)

Employee Verification
Applicant's Details
Name * ............................................................................................................. PHOTO

Father's Name * ................................................................................................

Mobile No. * ............................ Email ..........................................................

Current Address *....................................................................................................................
District* ................................... Pin Code*............................ State* ..................................

Police Station * ......................... Id Type* ............................ Id No.* ..................................

Permanent Address * ..............................................................................................................

District* ............................ Pin Code* ............................ State* ..................................

Police Station * ......................... Id Type* ............................ Id No.* ..................................

Caste* .................. Religion *.................. Sex *.................. Blood Group ........................

DOB * d
..d
../.m
...m
.../.y.y
..y..y. Place Of Birth* .............................. Physically Disabled * ..................

Educational Qualification College/University Name

................................................................. ...........................................................................
................................................................. ...........................................................................
................................................................. ...........................................................................

Bank Details
Bank Name .............................. A/C No............................... Annual Income ....................

Current Employer Details

Name* ................................. Contact No.* .................. Living in Noida Since* d
..d
../.m
...m
.../.y.y
..y..y.
Address* ...............................................................................................................................

Reference Person in Noida

Name*........................................................ Contact No.*..................
Address* ...............................................................................................................................

Previous Employment(1)
Name*........................................................ Contact No.*..................
Address* ...............................................................................................................................
Previous Employment(2)
Name*........................................................ Contact No.*..................
Address* ...............................................................................................................................
Sarpanch/Councilor (Of native place)
Name*........................................................ Contact No.*..................
Address* ...............................................................................................................................