{SOCIETY_NAME} REGN. NO: {SOCIETY_REGISTRATION_NUMBER} {ADDRESS LINE 1} {ADDRESS LINE 2} Verification Form for Domestic Employees in full with alias, if any {SERVANT_NAME} of Birth {SERVANT_BIRTH_PLACE} Date of Birth {SERVANT_BIRTH_DATE} Address {SERVANT_PERMANENT_ADDRESS} Village {SERVANT_VILLAGE} Post Office {POST_OFFICE} Nearest Police Station {NEAREST_POLICE_STATION} Address {COMMUNICATION_ADDRESS} of Employer {EMPLOYER_NAME} and address of {FRIEND_RELATIVE_NAME} friend/relatives {FRIEND_RELATIVE_ADDRESS} Name and address of the {PREVIOUS_EMPLOYER_NAME} previous employer {PREVIOUS_EMPLOYER_ADDRESS} {INTRODUCER_NAME} Name Description Height {SERVANT_HEIGHT} Built {SERVANT_BUILT} Complexion {SERVANT_COMPLEXION} Eyes {SERVANT_EYE_COLOUR} Hair {SERVANT_HAIR_COLOUR} Identification Mark {SERVANT_IDENTIFICATION_MARK} or Peculiarity, if any {SERVANT_DEFORMITY} 1 Number {SERVANT_CONTACT_NUMBER} Signature or Left Thumb Impression of the servant Signature and Designation of the Verifying Police Officer (with Date)
{SOCIETY_NAME} REGN. NO: {SOCIETY_REGISTRATION_NUMBER} {ADDRESS LINE 1} {ADDRESS LINE 2} Verification Form for Domestic Employees 1 in full with alias, if any {SERVANT_NAME} of Birth {SERVANT_BIRTH_PLACE} Date of Birth {SERVANT_BIRTH_DATE} Address {SERVANT_PERMANENT_ADDRESS} Village {SERVANT_VILLAGE} Post Office {POST_OFFICE} Nearest Police Station {NEAREST_POLICE_STATION} Address {COMMUNICATION_ADDRESS} of Employer {EMPLOYER_NAME} and address of friend/relatives {FRIEND_RELATIVE_NAME} {FRIEND_RELATIVE_ADDRESS} Name and address of the previous employer {PREVIOUS_EMPLOYER_NAME} {PREVIOUS_EMPLOYER_ADDRESS} Name {INTRODUCER_NAME} Description Height {SERVANT_HEIGHT} Built {SERVANT_BUILT} Complexion {SERVANT_COMPLEXION} Eyes {SERVANT_EYE_COLOUR} Hair {SERVANT_HAIR_COLOUR} Identification Mark {SERVANT_IDENTIFICATION_MARK} or Peculiarity, if any {SERVANT_DEFORMITY} Number {SERVANT_CONTACT_NUMBER} Signature or Left Thumb Impression of the servant Signature and Designation of the Verifying Police Officer (with Date)
domestic-servant-verification-form.docx