VR-1

Residence Verification Report

*Date of Application :
*Application Number:

*Name of Applicant KAILASH PATEL

*Residence Address 369 D-2 D SECTOR PIPLANI BPL.

Address Confirmed Yes No

Tel. Number 9977539587
Date of visit 21.10.15 Time of visit

The following information is to be obtained from applicant or anybody residing at the

address:
Person contacted:RAJNI Relation with applicant:WIFE
Date of Appointment/Age of No. of years at current residence
Applicant; 06.12.1979 10 YRS

Residential status Marital Status

Self Owned Single Married

Owned by relatives No. of family members:04
Rented Working
Paying Guest Dependents Adults
Owned by Parents Children
Owned by Friends
Company Accommodation Is spouse working?
Lodging Yes No
If yes Employment Details:

Present Vehicle
2 Wheeler Owned
Car Financed
Others Co. provided
If availed Finance Please specify
Financer name:
Loan No. :
Asset: EMI:

THE FOLLOWING ARE BASED ON VERIFIERS OBSERVATION:

How co-operative was the customer Neighbourhood Check

Rude Polite +ve -ve
Checked with MR.SURESH RAI
Construction of Comments on Exteriors Carpet area in Sq. ft.
Residence (approx)

Interior Conditions Assets Seen at Residence Picture / Portrait of

Painted Television Political Leader Seen
Clean Refrigerator
Carpeted Music System Yes No
Curtains Two Wheeler (Regis#)
Sofa Car (Regis#)
Venetian Blinds Air Conditioner
Remarks

If the applicant address is locked the following information is to be obtained from the neighbors
Does the applicant Yes No Approximate age of
stay at this residence applicant
Approximate time, when applicant is available at home Number of family
members in the house

RECOMMENDED NOT RECOMMENDED

Any other Remarks:

VERIFICTION FOUND POSITIVE, APPLICANT IS RESIDING IN OWNED HOUSE FROM
LAST 10 YEARS. THERE ARE 04 MEMBERS IN HIS FAMILY OUT OF THEM 01 ARE
EARNING. NEIGHBOURHOOD RELATIONSHIP HAS BEEN CONFIRMED FROM
MR. SURESH RAI AND FOUND TO BE OK.

Verifier’s Name & Signature Agency Seal Agency Manager’s Signature

Comments & Route Map overleaf

If Verified by LIC HFL

Officials Official’s Signature & Designation
 VR-2
TELE-VERIFICATION REPORT
RESIDENCE / OFFICE TELEPHONE
*Application Number :
*Date of Application :
*Name of Applicant KAILASH PATEL
*Date of Birth 06.12.1979
*Name of the Co-Applicant
*Residence Address of Applicant 369 D-2 D SECTOR PIPLANI BPL
*Permanent Address of Applicant

Residence Office
Contact Telephone *9977539587 *
Numbers
Name of person spoken to SELF
Relation with applicant Spouse/Son/Daughter/Others Colleague/ Partner/ Superior/HR
Person/Other

*Name of Company BHEL STM BLOCK 6

Nature of Business
*Office Address BPL.
Working Since 10 YRS
Designation ARTIGEN G-2
Department

Tele calling Log

Resi Resi Resi Office Office Office
Attempt 1st 2nd 3rd 1st 2nd 3rd
Date of 21.10.15
Calling
Time of 4.00PM
calling
Outcome C

TELE-VERIFICATION OF GUARANTOR & REFERENCES

Guarantor Reference I Reference II

Name NILESH J N SINGH
KUMAR
SINGH
Telephone no. 8989119149 9039125776
Relationship with Applicant FRIEND STAFF
How many years they know 06 YRS 10 YRS
applicant
Employment details
Whether he is guarantor for
any other loan
Whether he is aware of his
liability as Guarantor
Whether Guarantor is aware of
Applicants’ loan quantum/ EMI
etc

Tele calling Log

Attempt 1st 2nd 3rd 4th

Date of 21.10.15 21.10.15
Calling
Time of 4.10PM 4.15PM
calling
Outcome C C

Outcome: C (Contacted), CE (Constantly Engaged), NR (No Response)

Other Remarks ___CONFIRMED THE GIVEN MUMBER

Tele Verification Result Positive Negative

Verifier’s Name & Signature Agency Seal Agency Manager’s Signature

Comments

If Verified by LIC HFL

Officials Official’s Signature & Designation
 VR-3A
EMPLOYMENT VERIFICATION REPORT

*Name of Applicant KAILASH PATEL

*Office Address BHEL STM BLOCK 6 BPL.

Address Confirmed Yes No Designation of the applicant:ARTIGEN G-2

Date of visit 21.10.15 Time of visit
Following are based on information obtained from H.R / authorized Executive of the
organisation

Person met; MR. SINGH Designation of the person met:STAFF

Telephone No Ext. No. Mobile No.
Number of years in present Visiting card Yes No
employment obtained (Attach the Visiting
10 YRS Card with this report)
* Name of Organisation BHEL

No. of Employees working in Office

10000
No. of Branches

Type of Job of Applicant Applicant Working As Applicant’s Job

Permanent Assistant Supervisor Transferable
Probation Clerk Junior Management Yes
Contract Worker Typist Senior/ Middle No
Temporary Worker Management
Stenographer Others
Skilled Labour

DETAILS OF SALARY VERIFIED FROM MR SINGH DESIGNATION STAFF

RECOMMENDED NOT RECOMMENDED

Remarks: VERIFICATION FOUND POSITIVE APPLICANT IS WORKING FROM LAST 10

YEARS AS A POST OF ARTIGEN G-2 AND FOUND TO BE OK.

Verifier’s Name & Signature Agency Seal Agency Manager’s Signature

Comments & Map overleaf
If Verified by LIC HFL
Officials Official’s Signature & Designation
 VR-6

VERIFICATION REPORT FORMAT FOR BANK PASSBOOK / STATEMENTS

To,
The Area Manager,
LIC Housing Finance Ltd.,

Dear Sir

Sub : Investigation Report (Bank Passbook / Statements )

Ref:

Applicant Co-applicant

Name

Name of the Bank

Branch & Address
A/c No. And Type of account
Status OK
Any Other Debits Noticed.
(Nature of Debits/ Amt of
Debit)
CD’s Noticed
(Yes/No)
Frequency
Type (Inward/Outward)
Remarks OK

I certify that the above details are correct and I have verified the attached statement / passbook
from bank.

Yours faithfully,

Authorised Signatory.
 VR-3B
BUSINESS VERIFICATION REPORT

*Name of Applicant *Co-applicant Name

(salaried/self-employed)
*Office Address

Address Confirmed Yes No Designation of the applicant

Date of visit Time of visit

Following are based on information obtained from applicant/colleague

Person met Designation of the person met

Telephone No Ext. No. Mobile/Pager No.
Number of years in present Visiting card Yes No
business obtained (Attach the Visiting
Card with this report)
Name of Company/business
Type of Company Product Dealt (Nature of No. of Employees working in
Business) Business
Public Ltd. Please Specify
Partnership
Private Ltd.
Proprietorship No. of Branches
Others

Average Monthly Turnover : Number of

Customers per day:

THE FOLLOWING ARE BASED ON VERIFIER’S OBSERVATION

Business Board seen outside Building/Office Yes No

Applicants name verified Receptionist Approx area of office (in sq. ft.)
from Colleague
Security
Others

Construction Exteriors Interiors Ease to Business No. of employees

Office locating office Activity sighted in premises
Level
Pukka Good Painted Easy High No. of customers seen
Semi- Pukka Average Carpeted Difficult Medium
Temporary Poor Curtains Untraceable Low
Clean
Whether any display of Yes No
affiliation to political party
seen

RECOMMENDED NOT RECOMMENDED

Remarks:

VERIFICATION FOUND POSITIVE APPLICANT IS DOING BUSINESS FROM LAST

YEARS FROM HIS OWNED / RENTED PREMISES WITH EMPLOYEES AND FOUND
TO BE OK. APPLICANT IS DOING BUSINESS OF AND FOUND TO BE SATISFACTORY

Verifier’s Name & Signature Agency Seal Agency Manager’s Signature

Comments & Map overleaf

If Verified by LIC HFL

Officials Official’s Signature & Designation
 VR-4

INCOME TAX VERIFICATION REPORT

File No _____________________

1. * Name of the Assessee :

2. *Address :

3. * PAN NO. :

4. Details of income :

*Assessment Year
*Ward
* Return filed on
Date
Total income
(Amt. as per
return filed with IT
Department)
Tax Paid on Total
Income
(Tax amt. as per
Return filed with
IT dept.)
Any other
information

On the basis of investigation / verification done by us, we confirm that the Income and Tax
particulars submitted as above are _ITR HAS BEEN VERIFIED WITH THE DEPARTMENT
AND FOUND TO BE OK.

Place: BHOPAL Chartered Accountants

Date : 06.10.2015 (Partner)