Domestic Servant/employee/tenant Verification Form Page 4

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PART – II - A
FINGER PRINT IMPRESSION OF EMPLOYEE/SERVANT
(voluntarily given to the employer)
(To be filled up by Employer only)
1.
Full name with aliases ___________________________________________________________
Father’s or husband’s Name _______________________________________________________
2.
3.
Address _______________________________________________________________________
______________________________________________________________________________
4.
Police Station Sl. No. ____________________________________________________________
FINGER PRINT IMPRESSION OF SERVANT/EMPLOYEE
RIGHT HAND
Right Thumb
Right Index
Right Middle
Right Ring
Right Little
LEFT HAND
Left Little
Left Ring
Left Middle
Left Index
Left Thumb
Signature of employee
Signature of employer

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