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Police Clearance Application Form

To
Police Commissioner
Dhaka Metropolitan Police, Dhaka

Subject: Application for Police Clearance Certificate

I, FARJANA BEGUM, 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 Applicants Name : FARJANA BEGUM Father's / Spouse Name : SIRAJUL ISLAM MINU Mother's Name : SAHANAJ ISLAM SALEHA Date of Birth : 15-AUG-75 Salutation : Ms. Email : National ID : Mobile NO. : 01818029792 Passport NO. : A11370415 Issuing Country : Bangladesh Issue Date : 16-JUL-23 Issue Place : DHAKA Expire Date : 15-JUL-33 Verification Thana : Banani	Ref No: 1CXML8A Apply Date: 04-DEC-25
Present Address Vill/Area : 70 (2nd FLOOR), ROAD-11, BLOCK-D Post office : BANANI Road-House/Flat : - District : Dhaka Metropolitan Police, Dhaka Upazilla/P.S : Banani Post Code : 1213 Permanent Address Vill/Area : 71-1 LC ROAD Post office : MADANGANJ Road-House/Flat : - District : Narayanganj Upazilla/P.S : Bandar Post Code : 1414
Delivery Delivery Type: By Hand Delivery From: Metro HQ, Dhaka Metropolitan Police, Dhaka

Delivery From: Metro HQ, Dhaka Metropolitan Police, Dhaka

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Attached Documents

Ward Councillor Certificate

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Chalan Copy

View / Download

National ID Scan Copy

View / Download

Passport Scan Copy

View / Download

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আপনার আবেদনের সর্বশেষ অবস্থা জানতে আবেদনে প্রদত্ত মোবাইলের মধ্যমে এসএমএস করুন PCC S 1CXML8A লিখে এবং পাঠিয়ে দিন 26969 নম্বরে (এখানে 1CXML8A আবেদনের রেফারেন্স নং)। ফিরতি এসএমএস এ পেয়ে যাবেন সর্বশেষ স্ট্যাটাস

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