Police
Clearance Certificate for the Job Employment purpose
To
Date:
The
Superintendent of Police,
District
Police Office,
_________________.
Subject: Application for issuance of PCC
Sir,
It
is kindly requested to issue me a Police Clearance Certificate for the Job
Employment purpose.
My
personal particulars are as follows:
Full
Name (Expanded Initials) ________________________________________
Gender_______________________________________________________________
Date
of Birth _______________________________________________________
Occupation
________________________________________________________
Father
(Full Name) ___________________________________________________
Mother
(Full Name) __________________________________________________
Spouse
(Full Name) __________________________________________________
Permanent
Address __________________________________________________
___________________________________________________________________
Present
Address ____________________________________________________
___________________________________________________________________
Residing
at current address since ______________________________________
It
is further stated that I am a citizen of India and have not been involved in
any criminal case in India and that there is no criminal case pending against
me in the any Court of Law.
__________________
Attachments Enclosed: (Signature
of Applicant)
1. Driving
License
_________________
2. Aadhar
Card
(Date)
3. Ration
Card
4. Voter
id
5. Domicile
Certificate
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