Application for Grant of Police Character Certificate from Pakistan ...

Application for Grant of Police Character Certificate from Pakistan

(to be filled in Capital Letters)

Part-A

1 Name of the Applicant:

First:

2 Father's/Husband's Name:

First:

3 Permanent Address

(in Pakistan):

4 Temporary Address

(abroad) including Tel and e-mail:

5 Address and Duration of Stay in

Pakistan for which clearance is required:

6 Profession:

7 Pakistani CNIC / NICOP No.

(for Pakistanis only)

8 Passport No.

9 Purpose of obtaining Character

Certificate and name of the country

Middle: Middle:

Nationality:

Passport Size Photographs of the

Applicant

Last: Last:

Date: _______________

Signature: ________________________

Place:

________________________

Part-B

Statutory Declaration

I _____________________________________ s/o, d/o, w/o __________________________________ do hereby solemnly affirm and declare the following as per the requirements of the Statutory Declaration Act of 1959:

i. That I am a Pakistani National; ii. That the information contained in Part-A of the form is true and correct to the best of my knowledge and

belief. iii. That I hold a Pakistani Passport as per details given above (Part-A of the Application); iv. That I hold a CNIC / NICOP which is genuine and valid (particulars mentioned in Part-A of the

Application);

I understand that if I intentionally make a false statement in a statutory declaration I will be guilty of an offence under section 11 of the Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every particular.

Date: ____________________________________ Signature of the Applicant:________________________

(To be signed in front of Notary Public or Justice of Peace)

Application for Grant of Police Character Certificate from Pakistan

(to be filled in Capital Letters)

Part-C

Passport Size Photographs of the

Applicant

The Ministry of Interior, Government of Pakistan, Islamabad.

I hereby request for issuance of a Police Character Certificate for the period from __________________ to ________________:

1 Name of the Applicant:

First:

2 Father's / Husband's Name: 3 Date of Entry into Pakistan: 4 Purpose of Visit to Pakistan:

5 Passport Particulars

First:

No. Issued at:

6 Profession:

7 Date of Birth (DD-MM-YY)

-

-

8 Present Nationality

9 Former Nationality (if any)

10 Address (abroad)

11 Address (in Pakistan)

12 Visa Particulars

No. Date of Expiry:

13 Period of overstay (if any)

14 Residential Permit No. (if any)

15

Last Date Extension Granted (if any)

Middle: Middle:

Last: Last:

Valid up to Place of Birth:

Issued by: Type/Category:

Date of expiry Authority / Reference

Date: _______________

Signature: ________________________

Place:

________________________

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