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•
 CHENNAI POLICE
TENANT VERIFICATION I INFORMATION FORM

1. Name of landlord-------------------------------------------------------------------------------------

2. Occupation Details (Office Address with Phone No. --------------------------------------

3. Residence Address (with Phone No.) ----------------------------------------------------------

Particulars of tenant to whom premises let out

1. Name --------------------------------------------------------------------------- Photograph of

tenant
(with Mobile phone No.) ---------------------------------------------------

2 . Fathe r's Name ---------------------------------------------------------------

3. Permanent Add ress (with Phone No.) --------------------------------------------------------

4. Present Address (premises occupied now on rent) ----------------------------------------

5. Previous residential address (with Phone No. & Date of vacation) --------------------

6. Detail of anyone of the following 10 Proof: Passport, Driving Licence, Arms

Licence, Ration card, Voter 10, PAN Card ----------------------------------------------------

7. Date of occupation of the premises : -----------------------------------------------------------

This is to certify that the information furnished above are true.

Signature of Landlord

Note: If there cs more than one tenant, separate form should be submitted