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Kazi Shaisab Zaman has submitted an application for a Police Clearance Certificate to the Dhaka Metropolitan Police for the purpose of traveling abroad. The application includes personal details, contact information, and attached documents such as a passport scan and birth certificate. The applicant can check the status of their application via SMS using the provided reference number.

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0% found this document useful (0 votes)
22 views2 pages

About Blank

Kazi Shaisab Zaman has submitted an application for a Police Clearance Certificate to the Dhaka Metropolitan Police for the purpose of traveling abroad. The application includes personal details, contact information, and attached documents such as a passport scan and birth certificate. The applicant can check the status of their application via SMS using the provided reference number.

Uploaded by

mithununibrands
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Police Clearance Application Form

To
Police Commissioner
Dhaka Metropolitan Police, Dhaka

Subject: Application for Police Clearance Certificate

I, KAZI SHAISAB ZAMAN, hereby submit an application for police clearance certificate for the purpose of going abroad
for visit or permanent residence. The details of my particulars are provided below:

Personal Detail Ref No: 16XHLDC


Applicants Name : KAZI SHAISAB ZAMAN Apply Date: 25-NOV-24
Father's / Spouse
: Kazi Sadique Zaman
Name
Mother's Name : Sk Lubna Akther Pervin
Date of Birth : 17-MAY-05
Salutation : None
Email : kazishoishobzaman@gmail.com
National ID : 5127750585
Mobile NO. : 01617469461
Passport NO. : A13583601
Issuing Country : Bangladesh
Issue Date : 04-JAN-24
Regional Passport Office, Dhaka
Issue Place :
East
Expire Date : 03-JAN-34
Verification
: Hatirjheel
Thana

Permanent Address
Present Address Gopalganj
Vill/Area :
Sadar
Vill/Area : Malibagh Baganbari
Post office : Gopalganj
Post office : Shantinagar
Theater
Rail Gate Baganbari Road-
Road-House/Flat : Road-
494 Road-House/Flat :
Zaman
Dhaka Metropolitan Brothers
District :
Police, Dhaka
District : Gopalganj
Upazilla/P.S : Hatirjheel
Gopalganj
Post Code : 1217 Upazilla/P.S :
Sadar
Post Code : 8100

Delivery From: Metro HQ, Dhaka Metropolitan Police, Dhaka


Attached Documents
Ward Councillor Certificate Download
Passport Scan Copy Download
Birth Certificate Scan Copy Download
Chalan Copy Download
National ID Scan Copy Download

আপনার আবেদনের সর্বশেষ অবস্থা জানতে আবেদনে প্রদত্ত মোবাইলের মধ্যমে এসএমএস করুন PCC S 16XHLDC লিখে এবং পাঠিয়ে দিন 26969 নম্বরে (এখানে 16XHLDC আবেদনের
রেফারেন্স নং)। ফিরতি এসএমএস এ পেয়ে যাবেন সর্বশেষ স্ট্যাটাস

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