Address Verification

AAF Template

Company Name/Client Name

Case-ID *

Ref #

Ref # 2

Partner Email

Case Name *

Phone Number

+91

Father Name *

Date of Birth

dd-MMM-yyyy

Address Type

Address

House No. & Building Name Landmark & Area City State Pin Code

Country

Landmark *

Police Station / Post Office *

Period of Stay (as supplied)

Mention the period of stay candidate is residing.

Period - From *

mention residing since which month & year.

Period - To *

mention residing till which month & year.

Known Since *

Property Ownership *

Type of Residence *

Type of Area *

Additional Comments *

Visit Observation/Customer Issue *

Mention details of verifier (Name, Relation with owner, Contact Details) and mention site observation if any other business is found.

New Communication Address *

Nature of Business *

Report Status *

1. Positive - Company found on the given address and verified from the owner. 2. Negative - Company not found and confirmed with neighbor that no such company exists. 3. Insufficient - Address insufficient/Area inaccessible

Verifiers Name *

Verifiers Relationship *

Verifiers Proof Document Number

Verifiers Phone

Verifiers Email

Date & Time of Visit *

dd-MMM-yyyy HH:MM AM/PM

Proof - Identity & Address*

Proof - Identity & Address
Tag

Proof - Identity & Address *
N/A
Upload file Capture image using webcam
Tag
N/A

* Subject to permission of the verifier.

Premise / Door Name Plate* *

* Subject to permission of the verifier.

Building Name Board *

Nearest Landmark *

Area Sign Board / Milestone

Area Sign Board / Milestone Photo
Tag

Area Sign Board / Milestone Photo *
N/A
Upload file Capture image using webcam
Tag
N/A

Selfie *

Address Verification

Verifiers Info

Photo Enclosure

Field Official Info

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