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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