FORMAT FOR INFORMATION OF TENANTS, DISTRICT LUCKNOW 1Name of landlord......................................................................... Occupation with Details office Phone No.............................................................. 2Address ...................................................................................... Phone No. .................................................................................. Particulars of tenant to whom premises is proposed to be or has been let out 1Name.................................................................Father name.................................................. 2Occupation with details of office phone number.................................................................... ................................................................................................................................................. ................................................................................................................................................. 3Age................. Family Members: Name Age Relationship ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... 4Present Address ........................................................................................................................... 5Previous residence address and.................................................................................................... phone No. date of leaving ........................................................................................................... 6Permanent address and ............................................................................................................... phone no. ..................................................................................................................................... 7Details of either any one of the following Passport, Driving License, Arms License Ration Card, Voter Card, Income Tax(Pan No.) ........................................................................ .................................................................................................................................................... Signature of landlord ............................................................................................................................................................... ACKNOWLEDGEMENT Receiver from Shri/Smt............................................S/o......................................................................... R/o...............................................................................................Ph.No................................................. Intimation of letting out.................................................to Shri.............................................................. S/o......................................................................R/o.............................................................................. Date........................Diary No...................................... Signature of Recipient...................................... Name & designation ....................................... Police Station ....................................... Seal :
