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FORM 71 A

This document is an application form for discharge that must be submitted by members of the police force through the appropriate channels to the Police General Headquarters. It includes sections for personal details, reasons for discharge, and comments from commanding officers. The form requires signatures and approvals from various authorities before the discharge can be finalized.

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tbvirihwa
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© © All Rights Reserved
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40 views2 pages

FORM 71 A

This document is an application form for discharge that must be submitted by members of the police force through the appropriate channels to the Police General Headquarters. It includes sections for personal details, reasons for discharge, and comments from commanding officers. The form requires signatures and approvals from various authorities before the discharge can be finalized.

Uploaded by

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

R.P FORM 71
APPLI
CATI
ONFORDI
SCHARGE
INSTRUCTI
ONS
Thisf
ormtobesubmittedi
nsi
nglecopybyall
memberwhenapplyi
ngforthei
rdischar
ge,andi
stobef
orwar
ded
thr
oughtheusual
channelt
oPol
iceGeneral
Headquart
ers,
Har
are,
withtheminimum delay.

For
ceNumber C/
D Dat
e of Bi
rt
h Rank

Sur
nameandI
nit
ial
s

Br
anch:

St
ati
on:
……………………………………………Di
str
ict
:………………………………………Pr
ovi
nce:
……………………….
.

Dat
eofat
test
ati
on Dat
eofDi
schar
ge(
i.
elastwor
kingday
)

Fut
urePost
aladdr
ess:
………………………………………………………………………….

Reasonforsubmi
tti
ngappl
icat
ion:
……………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………
(NB.I
fthespaceabovei
stoosmall,at
tachannexur
e)

Dat
e ……………………………………………
(Si
gnat
ureofappli
cant)
.
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TheOf
fi
cerCommandi
ngPol
i
ce

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tint
erv
iewconduct
edon………………………………………………….
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2. Comment
s:

3. Memberi
scur
rent
lypendi
ngt
ri
alf
oracr
imi
nal
off
ence:
-

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4. I
f(3)abov
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giv
ebr
iefci
rcumst
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imeRegi
sterRef
erence

5. ConductCl
assi
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cat
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s

Recommended NotRecommended
6.

Dat
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icer
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n-Char
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TheOf
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cerCommandi
ngPol
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icerCommandi
ngPol
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ce)

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str
ict

TheCommissi
onerGeneral
ofPoli
ce
Z.
R.Pol
iceGener
alHeadquater
s

Ref
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edpl
ease,

Recommended NotRecommended

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Dat
e
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.
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fi
cerCommandi
ngPol
i
ce

………………………….
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ovi
nce

APPROVED NOTAPPROVED

Dat
e:

………………………………………………..
.
(
Commissi
onerGener
alofZ.
R.Pol
i
ce)
(
N.B.
*=t
ickappr
opr
iat
ebox)

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