Date : ‘The Station House Officer Sub : Criminal Declaration Form Sir, My name is Vijaya Bhaskara Reddy Vemireddy s/oRama Krishna Reddy Vemireddy and residing at_House no 21.231 Santhinagar. Tiravuru,Krishna(Dist) Andhra Pradesh-521235 for the last _15_~" years. understand that my residence falls under the jurisdiction of your police station. {have secured a job in Steria India Ltd. Seaview Special Economic Zone, Building 4, Plot No, 20 & 21, Sector-136, Gautam Buddh Nagar, Noida (UP) ~ 201304 and as a term of my appointment, Lam supposed to submit a letter / certificate from the relevant police station to state the fact that there has been no crinsinal case pending / investigated against my name, As this is a critical pre requirement for my job, I hereby submit an application requesting to kindly issue me a certificate confirming that “There has becn no criminal ease pending / investigated against my name.” Thereby authorize the bearer of this letter to submit the application on my behalf and seek the desired certificate as above said. I shall ever remain obliged, Regards Yous Sincerely Boss} Vos Roof . Versa TSHAS kee (Name of the applicant ) Confirmed that there has been no criminal ease pending against Mr, s/oand do, a5 per the record available fo date. (Sign and Seal )