APPLICATION FORM
TO BE FILLED BY THE APPLICANT IN BLOCK LETTERS
TO The Police Officer,
Gujranwala.
POLICE CHARACTER SERTIFICATE
Dear Sir,
Please issue a Police Character Certificate with the following particulars:-
1. Name: _________________________________________________________________
2. S/O,D/O, W/O:_________________________________________________________________
3. Address: _________________________________________________________________
_________________________________________________________________
i. Permanent: ___________________________________________________________
________________________________________Police Station: ___________________
ii. Temporary: ____________________________ Police Station:___________________
iii. Other Place (s) of stay: ______________________ Police Station:__________________
4. CNIC NO.: _________________________________________________________________
5. Date and Place of Issue: _________________________________________________________
6. Passport No.: _________________________________________________________________
7. Date and Place of Issue: _________________________________________________________
8. Purpose of Obtaining Certificate (Visit abroad/Immigration/Nationality or Employment in
Pakistan): _________________________________________________________________
9. If Government Servant ( Department NOC) be attached: _______________________________
10. Contact No.: _________________________________________________________________
I, Solemnly declare that all information written in the form is correct and have been completed by myself.
Signature of Applicant
Date: ___________________
Note:-Requirement at Submission
1. 02 X Application Form
2. 02 X Passport Size Photographs(Front with light blue back ground un attested).
3. 01 X CNIC Copy (Attested by Gazetted Officer).
4. 01 X Passport Copy (Attested by Gazetted Officer).
5. Authority Letter (If Applicant is abroad).
6. Affidavit Rs.50/-Duly (Attested by Oath Commissioner).
7. Requirements at Collection (Show Original CNIC ).
Clearance Certificate will be issued after One Week from the date of receipt of this application from.
In-charge District Security Branch:
District _____________________: