Domestic Servant/employee/tenant Verification Form (Page 3 of 7) in pdf

Domestic Servant/employee/tenant Verification Form Page 3

FOR POLICE USE ONLY

PART – III

1. Form Prepared by

Name : ______________________________________ Rank ___________________________

Range No. ____________________________________ PIS No. _________________________

Police Station _________________________________ District __________________________

2. Result of verification from CRO ___________________________________________________

3. Result of verification from Finger Print Bureau _______________________________________

_________________________________________________________________________________

4. Result of verification from previous employers ________________________________________

_________________________________________________________________________________

5. Result of verification from the concerned Police Station _________________________________

(of Delhi to be done local PS)

________________________________________________________________________________

6. Details of verification form sent to DCP office for enquiry from SHO Home Town

PS ____________________________ District ______________________ State ________________

Despatch No. _____________________ Date ___________________

S.H.O __________________________

7. Result of verification from home town /Date & details of verification received from home town

_________________________________________________________________________________

S.H.O __________________________

-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x-----x--

ACKNOWLEGEMENT

Received Servant/Employee verification form from Sh./Smt. __________________________________

in favour of Sh./Smt. __________________________________on ______________.

Signature of Duty officer

PS __________________

Domestic Servant/employee/tenant Verification Form Page 3