GOVERNMENT OF JAMMU AND KASHMIR JAMMU AND KASHMIR POLICE LANDLOARD/TENANT INFORMATION (To be filled in capital letters only) 1. Landlord/Owner Information House No. ___________ Town/Village ___________________________ Name of Owner _____________________________________Since ___________ Phone No. _______________________ Father/Husband Name __________________ Permanent Address_____________________________________________________ Distt. ___________________State_______________ Police Station ________Phone No. _____________Occupation__________________ Whether landlord residing in the House Yes/No If yes, furnish the following information. (A) PARTICULARS OF FAMILY MEMBERS RESIDING WITH THE OWNER Sr. No. Name Age Sex Relation Occupation Voter I-Card No. 1. 2. 3. 4. 5. 6. 7. 8. (B) PARTICULARS OF VEHICLES OWNED BY LANDLOARD OR HIS/HER FAMILY MEMBERS Sr. No. Registration No. Registered owner Type Make Model 1. 2. 3. 4. 5. (C) WEPON DETAILS Sr. No. Type/Make of Weapon Bore Valid Up to License No, Name of License Holder Issue authority 1. 2. 3. (D) PASSPORT DETAIL Sr. No. Passport No. Name of Passport Holder Date of Issue Issuing Authority Nationality 1. 2. 3. Having any servant or not __________________________(if yes, fill up Servant information form also)Having tenants _________________________________(if yes, fill up Tenant information form also) Certified that the information given above is correct to my knowledge and belief and nothing has been concealed therein. Name_______________________________ Signature______________________ Date_____________ FOR USE OF POLICE STATION Received on ___________________________________________ PS Dairy No. __________________________________________ Authorized Signatory Name _______________________________________________ Rank ________________________________________________ No. _________________________________________________
