Police Clearance Certificate Application (for Passport)

Your name*

Your address*

Passport number*

Police station*

Purpose (country, visa type, or employer)*

Date of application*

Format:

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To, The Station House Officer [police_station] Police Station Subject: Application for Police Clearance Certificate Respected Sir/Madam, I, [applicant_name], residing at [applicant_address], holder of Passport No. [passport_number], request that a Police Clearance Certificate be issued in my name. PURPOSE This certificate is required for: [purpose]. I enclose the required documents and photographs as prescribed. I request that the certificate be issued at the earliest. [applicant_name] Date: [application_date]

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Police Clearance Certificate Application (for Passport)

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