Domestic Servant/employee/tenant Verification Form Page 2

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12. A specialization obtained in which area of domestic help like :-
(i)
Cooking ________________________________________________________________
(ii)
Dusting & Utensil cleaning _________________________________________________
(iii)
Outdoor works ___________________________________________________________
(iv)
Attending guest/visitors ____________________________________________________
(v)
Attending phone calls _____________________________________________________
(vi)
Any other (Please specify) __________________________________________________
13. DESCRIPTION OF EMPLOYEE
(i) Height ___________ (ii) Built _____________________________(iii) Eyes ________________
(iv) Hairs ____________ (v) Complexion _______________(vi) Tatoo Marks __________________
(vii)
Other identification Marks _________________________________________________
(viii)
Deformity or peculiarity if any _______________________________________________
(ix) Petwords of speech _____________________________ (x) Physical Built __________________
(x) Handwriting specimen ___________________________________________________________
(xi) Signature of the employee/servant __________________________________________________
14. Name & Local Address of Relatives & Friends in Delhi ________________________________
.
________________________________________________________________________________
.
________________________________________________________________________________
15. INTRODUCED BY:-
Name, Address & Telphone No. ____________________________________________________
.
_________________________________________________________________________________
16. DETAILS OF EMPLOYER
Name, Address & Telephone No. ___________________________________________________
.
_________________________________________________________________________________
Signature of the Employer

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