Domestic Servant/employee/tenant Verification Form

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DOMESTIC SERVANT/EMPLOYEE/TENANT VERIFICATION FORM
PART I
SL. No. ____________POLICE STATION _______________ DISTRICT __________
DETAILS OF SERVANT/EMPLOYEE
1. Name of the Servant/Employee (with alias, if any)
_______________________________________
2. Father’s Name ___________________________________________________
3. Mother’s Name __________________________________________________
Photograph of
Servant/Employee
4. Place & Date of Birth _____________________________________________
5. Language spoken ________________________________________________
6. Permanent Address
__________________Vill.___________________________________________
PO___________________ P.S_________________________ District _____________________
State ____________________Country ____________________ Tel._______________________
7. Details of identification proof like Ration Card/Driving Licence/I.Card, if any _______________
_______________________________________________________________________________
8. Name & Address of the Sarpanch _________________________________________________
______________________________________________________________________________
9. Local Address _________________________________________________________________
______________________________________________________________________________
10. Name & address of previous employer in Delhi
__________________________________________
___________________________________________________________Tel. No. ____________
11. Date since when employed
__________________________________________________________

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