DELHI POLICE

FORMAT FOR INFORMATION OF TENANTS

1. Name of Landlord ………………………………………………………………….

Occupation with details office, Phone No.
………………………………………………………………………………………
………………………………………………………………………………………
2. Address …………………………………………………………………………….
Particulars of tenant to whom premises let out

3. Name ………………………………. Father’s Name ……………………………..

4. Occupation with details of office phone number
………………………………………………………………………………………
………………………………………………………………………………………
5. Age …… Family Members: Name Age Relationship
………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
6. Present address: …………………………………………………………………….
7. Previous Residence Address ……………………………………………………….
and Phone No., Date of Leaving
8. Permanent Address ………………………………………………………………...
and Phone no.
9. Details of either any of following ………………………………………………….
Passport, Driving License, Arms License, Ration Card, Voter Card, Income Tax (PAN No.)

Signature of Landlord
Acknowledgement
Received from Shri/Smt. ………………………….. S/o …………………………………
R/o ………………………………………………….. Phone ……………………………..
Intimation of letting out ……………………………. To Shri …………………………….
S/o …………………..
Date ……………….. Diary No. …… Signature of Recipient …………
Name & Designation…………………………..
Police Station …………….. Seal …………