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Wednesday, 01 September 2010 05:30

Download Police Clearance Certificate (P.C.C.) Application Form for Persons Residing in India

Download forms for state: Punjab
Form Details
DepartmentDistrict Administration
TitlePolice Clearance Certificate (P.C.C.) Application Form for Persons Residing in India
Document Size59.0 KB
Text of the PDF document(for quick reference)
To Senior Superintendent of Police Kapurthala. Subject:- Application for Police Clearance Certificate. (For persons residing in India) Sir, It is respectfully submitted that :- 1. I _____________________________ S/o,D/o,W/o __________________________ am permanent resident of village _____________________________________ PS_______________________________ District Kapurthala 2. I do not take part in any anti National/social activities 3. There is no Civil/Criminal case pending against me in any court of law else were in India 4. I command a good reputation and respect in general public. 5. I have never changed my name. 6. My date of birth is ________________ (in words) ____________________________ 7. My Passport No. is ______________________ issued by ____________________ valid up to________________________. 8. I am in need of police clearance certificate as the same is required to be produced before (name of embassy) _________________ for the purpose of ___________________________ It is therefore requested that I may please be issued Police Clearance Certificate. Documents Attached (Tick whichever is applicable) 1. 4 Passport size Photographs. 2. Photocopy of Ration Card/ Driving license/Voter I-card/Pan Card or any other residence certificate. 3. Photocopy of Passport. 4. Photocopy of School Certificate/ Date of Birth Certificate. Yours Faithfully, Signature ( ) Name Address Phone Number Date: Photo
Last Updated on Friday, 17 December 2010 05:30

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