APPLICATION FOR POLICE VERIFICATION
To,
The Station House Officer,
Police Station Police Station Sector 26, Chandigarh.
Date: 2 April 2026
Place: Chandigarh
Subject: Application for antecedent and character verification of Suresh Kumar, engaged/proposed to be engaged as domestic help, maid or housekeeping staff
Sir/Madam,
- I, Karamjeet Singh Bajwa, an individual householder engaging the employee for domestic service at my residence, acting through Ritu Mahajan, Secretary, authorised by the Managing Committee resolution dated 2 March 2026, of House No. 812, Sector 21-B, Chandigarh 160022, phone 98140 12345, have engaged, or propose to engage, the person named below, and request that their antecedents and character be verified before or during that engagement.
- PARTICULARS OF THE EMPLOYEE
Name: Suresh Kumar
Nature of engagement: domestic help, maid or housekeeping staff
Father's/husband's name: Ram Lal
Date of birth/age: 14 June 1992
Permanent address: Vill. Bhadson, P.O. Bhadson, Tehsil Patiala, District Patiala, Punjab 147021
Present address: Room No. 4, Ward No. 9, Colony Number 5, Chandigarh 160002
Identity proof produced: Aadhaar card, number X
Contact number: 98765 43210
Date from which engaged/proposed to be engaged: 1 April 2026