I POLICE VERIFICATION FORM FOR
ISSUANCE OF AIRPORT ENTRY PASS
Photograph
1. Name of Applicant. ....,-
(IN BLOCK LETTERS)
2. Father's /Husband's Name _ (Passport Size)
3. Educational Qualification _
2" x 1112"
4. Date & Place of Birth _
5. Nationality. Religion. _
(For Pakistani National)
6. CNIC No. Passport No (If any). ~ _
7. Present Address _
8. Permanent Residential Address: _
9. Present Appointment Previous Service (If any) --
10. Political Affiliation in the Past any Activity in
Any Political/Student / Labour Organization ~ _
11. Name & Addresses of Two Relatives "'--_-'-- -------------
a.
b.
12. I hereby certify that the particulars given above area correct to the best of my knowledge and belief.
Signature of Applicant
Date _
Mobile No. _
COUNTERSIGNED BY THE HEAD OF OEPTT / NOMINATED OFFICER
CHARACTER CERTIFICATE (Nazim, Councilor, Army / Government Gazetted Officer)
C"i~~., ,'.~.
_ V·i~~'~
-
G;~-"~},
Signature & Stamp
Name. .
Designation. _
FOR OFFICIAL USE ONLY (Police Station)
Cleared l Not cleared for the following reasons;
Signature & Stamp
SHOo _
Police Station.
Date. , _
(Do not use the back Side of this pace, use extra page with page numbering in case of additional work)
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