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Police Verification Form

This document contains information about an employee named Bunty Bajaj provided by his employer PeopleStrong Technologies Pvt Ltd to Gurugram Police. It includes details like Bunty's personal information, permanent and current addresses, details of previous employment, and information about his family member residing with him. The employer notes that they have separately requested police verification of Bunty by the concerned police jurisdiction based on his permanent address.

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Rohit Bajaj
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2K views3 pages

Police Verification Form

This document contains information about an employee named Bunty Bajaj provided by his employer PeopleStrong Technologies Pvt Ltd to Gurugram Police. It includes details like Bunty's personal information, permanent and current addresses, details of previous employment, and information about his family member residing with him. The employer notes that they have separately requested police verification of Bunty by the concerned police jurisdiction based on his permanent address.

Uploaded by

Rohit Bajaj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Particulars of Employer/Landlord: Collects key information about the employer or landlord, including identification details and contact information.
  • Particulars of Employee/Tenant/Domestic Help: Records essential details of the employee, tenant, or domestic help, including their personal information and job specifics.
  • Employment and Family Details: Gathers data regarding past employment, current job, and family members staying with the employee/tenant.

Gurugram Police

Information on Domestic Help/Tenant/Employee


Particulars of Employer//Landlord
1. Sector/Village/Colony/Society Passport
2. Plot no./Flat No. /House No./Street Size
No./Police Station A-10, Info Technology Park, Sector 34, Gurugram, Photograph
Haryana 122001

3. Name & Father’s name of Employer/Landlord with Mobile No.


i) Name of the Landlord/Employer PeopleStrong Technologies
Pvt Ltd

ii) Father’s Name

iii) Contact No. Signature of the


Applicant

4. Particulars of Employee/Tenant/Domestic Help


Bunty
Full Name Bajaj Phone No.
9990
0001
Alias 84
Raghuv
eer
Father Name Kishore
Neha Salarie
Spouse Name Sharma Occupation d

Nationality Indian Age 32

Sex Male Caste

5. Permanent Address
House No. 810/15
Arjun
nagar,
street
Sector/Village/Locality no 1
Police Station
District & State Haryana
Landline/ Mobile No. 9990000184
Proof of Identity (Voter card/Driving License/Ration Card etc.)
Two References from 1. Rohit Bajaj 9999923874
Native Place (Name,
Vishal
2. Manchanda 9871709609
Address & Ph. No.)

6. Local (Current) Address


House No. Residing at current address since
Sector/Village/Locality
Name of Landlord & Address Police Station
Police Post
Mobile No.

Two Local References


(Name, Address & Ph. No.)

7. Nature of Employment Place of Work


(Domestic Servant/Shop Employee/Industrial
Gurgaon
Worker/Chowkidar/Dhobi/Tradesman/Craftsman
etc.)

8. Particulars of Previous Employment (in case of


Employee) Nature of Employment Services

Address Gurgaon, Incedo Inc

Particulars of Previous Employer (with mobile no.) 9899676761

9. Particulars of Family members residing with the Tenant/Employee


Sr. No. Name Age Sex Relation Occupation Mobile no.

9
Femal 9
1 Neha Sharma 32 e Wife Salaried 9 9990000753

This is only Information Form. I am getting his/her Police


verification done separately by addressing the concerned jurisdiction SP (of permanent
address) in the prescribed Proforma.

Signed by

(Name)
Employers/Landlord.
Dated ……………

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