Resi Verification Format

Residence BD visit report

RV

New \ Used Car Application Ref.No. Applicant’s Name Residence Address Address Confirmed

Landmark

Date & Time of Visit

The following information is to be obtained from the applicant or anybody residing at the address: Person Contacted

Relation with Applicant

Date of Birth / Age of applicant

Years lived at current address

Residential Status

Educational Qualification

Type of Degree Marital Status

No. of Family Members

Working

Children

Dependent Adults

If Spouse Working?

If yes Employment Details : Any Credit Card Card Limit

Card No. Issuing Bank

End user of Asset

Location of Asset

Place of Registration (For Auto)

Present Vehicle

Ownership of Vehicle Loan No.

Expiry Date

If availed Finance Pl. Specify Financier Name Asset

EMI

The following is based on Verifier’s Observation: How Co-operative was the customer Name Verified From Type of Residence Ease of Locating Address

Neighbour’s Reference Locality of Residence Construction of Residence

Comments on Exteriors

Carpet Area in Sq. ft. (approx) Interior Conditions

Picture / Portrait of Political Leader Seen Assets Seen at Residence Other Details Verifier’s Remarks

If the Applicant address is locked the following information is to be obtained from the neighbour: Does the applicant stay at this residence Approximate time, when applicant is available at home

Recommended [ ]

Approximate age of the applicant Number of Family members in the house

Not Recommended [ ]

(Tick appropriate reason below)

Residence cum Office

Defaulter / Bad Market Reputation

Non Targeted Area

Person does not exist

Outside Geographical Limits

Address not traceable / does not exist

Applicant or Family member not met

Detail mismatch

Door locked

Negative Neighborhood Check

Poor living conditions

Any other Reason (Not covered by above)

Shared / Bachelor Accommodation

Any Other Reason

Verifier’s Name & Signature:

Agency Seal

Agency owner \ manager’s signature