Police Clearance Certificate

 Hi All:

I am planning to use the PCC on their letterhead on the following lines - hope this helps.

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Office of the Inspector of Police 
XXX Police Station, XXX City, Pin code, State ,India




POLICE CLEARANCE CERTIFICATE


We have received an application for Police Clearance Certificate from (Applicant’s name), an indian citizen and holder of passport number XXXXXXX, S/o (Applicant’s father’s name), 
(ex or current ) resident of (Residence address) that is under our police jurisdiction. He has requested this certificate for the purposes of application for United States Immigrant Visa.

Based on the above information , we have conducted a search in our records and we certify that we do not have any record against the applicant.

Police Clearance Certificate is hereby granted to (Applicant’s name) for the purposes of application for United States Immigrant Visa. 

(Name)

Sd/-

Inspector of Police, 
XXX Police Station,
City & Pin code
State 
India
Date: 

Office Seal: 

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