Format of Police Clearance Certificate For Visa

Format of Police Clearance Certificate For Visa
Format of Police Clearance Certificate For Visa

To,

The _________ Police,
District Police Office,
_________, _________.

Subject: Application for Issuance of PCC (POLICE CLEARANCE CERTIFICATE)

Sir,

It is requested that a Police Clearance Certificate may be issued to me for visa purpose. My personal particulars are as follows:

Full Name            :     _________

Sex                      :    _________

Previous Name        :    _________

Date of Birth             :    _________

Occupation            :    _________

Father (Full Name)        :    _________

Mother (Full Name)        :    _________

Spouse (Full Name)        :    _________

Permanent Address        :    _________.

Present Address        :    House _________.

Residing at current address since: _________

Passport No.: _________ Date of issue: _________ Valid till: _________

Passport issued by: Regional Passport Officer _________

Country for which Visa has been applied: _________

It is further stated that I am a citizen of _________ and have not been involved in any criminal case in _________ and that there is no criminal case pending against me in the Court of Law.

___________________
(Signature of Applicant)
_________________
(Date)

Form Format of Police Clearance Certificate

Form Format of Police Clearance Certificate
Form Format of Police Clearance Certificate

To,

The Superintendent of Police,
District Police Office,
_________, _________.

Subject: 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            :     _________
Sex                      :    _________
Previous Name        :    _________
Date of Birth             :    _________
Occupation            :    _________
Father (Full Name)        :    _________
Mother (Full Name)        :    _________
Spouse (Full Name)        :    _________
Permanent Address        :    _________.
Present Address        :    House _________.
Residing at current address since: _________
Passport No.: _________ Date of issue: _________ Valid till: _________
Passport issued by: Regional Passport Officer _________
Country for which Visa/Immigration has been applied: _________

It is further stated that I am a citizen of _________ and have not been involved in any criminal case in _________ and that there is no criminal case pending against me in the Court of Law.

                                                                                                                                                       ___________________
                                                                                                                                                           (Signature of Applicant)

_________________
(Date)