To Senior Superintendent of Police Kapurthala Subject:- Application for Police Clearance Certificate. (For persons residing in Foreign Countries) Sir, It is respectfully submitted that :- 1. I __________________________ S/o,D/o,W/o ___________________ am the permanent resident of village ____________________________________ PS_________________ District Kapurthala 2. That ________________________________ (Name of the person in whose name PCC is required) is my_______________________________________(Relation) 3. That his/her Date of Birth is ________________________ 4. That his/her Passport No._____________________ issued by______________________ Valid upto ___________________ 5. That presently He/She is residing in ____________________________(Country) 6. That He/She is not involved in any Civil/Criminal case. 7. That He/She dose not take part in any anti National/social activities. 8. That He/She bears good moral character. 9. That He/She require PCC for the purpose of ______________________________________ That in view of the above you are requested to issue Police Clearance Certificate in the name of ________________________________ S/o ____________________________________ R/o________________________________________________________________________ Documents Attached (Tick whichever is applicable) 1. 2 Passport size Photographs. 2. Photocopy of Ration Card/ Driving license or any other residence certificate. 3. Photocopy of Passport. 4. Photocopy of School Certificate/ Date of Birth Certificate. It is submitted that information given above is true Yours Faithfully, Signature ( ) Name Address Phone Number Date: Photo