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POLICE CLEARANCE CERTIFICATE APPLICATION FORM To The Superintendent of Police District Police Office. Subject Applicant must paste one photograph 35mm x 35mm here with half the signature on the photograph and half on the application Application for issuance of PCC Sir It is requested that a Police Clearance Certificate may be issued to me for visa/immigration purpose. My personal particulars are as follows Full Name Expanded Initials Sex Previous Name in case the name has been changed Date of...
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of birth Address Telephone Number (in case of a mobile number) Country of Citizenship Email address (if required) Last 4 Social Bookmarks Internet Banking (If applicable) The above data can be verified by the applicants. Sir,, it is requested that a Police Clearance Certificate may be issued to me for visa/immigration purpose. My personal particulars are as follows: Mr. John (C) Dear Sir, This is the application form for the issue of an I.D. Card to an applicant for a permit for a period of three (3)years. Sir, Please make copies of the above. Also make the copies of copies of all the documents furnished. Sir, Please have your police officer do a check whether the applicant is entitled to the card. If I am not the applicant, please have your police officer send me the applicant's address and telephone #. Sir, Please forward this via DTRC to your concerned and ask you to inform me if I am the correct person. Sir, Please indicate date of receipt and time of receipt via DTRC. Signed: ______ Mr. John K. ____ Dear Sir, The above letter was received by you on 23th September 2008. You can confirm this letter is valid. Please check this out if the above information was obtained from the applicant. Sincerely yours, _______, Chief Passport officer (i.e. I) CIDCO (ii) ________/PATROL (iii) SSPB (iv) ___________________________ The above photograph is attached to the application form. (v) ________________________________ D. Passport Issuing Officer (i) CIDCO (ii) ________ __________ (iii) ________ / ___________ (iv) SSPB (v) _______ ________________________________ (vi) Mr. H. K. E. Certificate of Identity to enable Police Officer to clear the applicant. (i) CIDCO (ii) ________/PATROL (iii) SSPB (v) ___________________________ (vi) Mr. H K. F. Passport Application for Visas/Immigration For Visa/Immigration Purposes Please make your Police Officer do a check whether the person is entitled to the card. (Pursuant to sec. 2 of