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Affidivit For Proxy

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Gunjan Anand
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28 views

Affidivit For Proxy

Uploaded by

Gunjan Anand
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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 _________ 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 _________

Reason for Applying PCC: _________

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)

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