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Police Clearance Application Form
To
Police Commissioner
Dhaka Metropolitan Police, Dhaka

Subject: Application for Police Clearance Certificate

I, KAZI ABDUL WADUD, 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: 180079264


Applicants Name : KAZI ABDUL WADUD Apply Date: 14-JUN-18
Father's / Spouse Name : LATE KAZI SULTAN AHMED
Mother's Name : LATE NURJAHAN BEGUM
Date of Birth : 01-JAN-54
Gender : Male
Email : kaziabdulwadud1954@gmail.com
National ID : 1911894642485
Mobile NO. : 01922805592
Passport NO. : BC0846508
Issuing Country : Bangladesh
Issue Date : 02-DEC-14
Issue Place : DHAKA
Expire Date : 01-DEC-19
Verification Thana : Uttara West

Present Address Permanent Address


Vill/Area : Sector 07 Vill/Area : Bharasar
Post office : Uttara Post office : Sadar Isapura
Road-House/Flat : Road 17-House 11 Road-House/Flat : -
District : Dhaka Metropolitan Police, Dhaka District : Comilla
Upazilla/P.S : Uttara West Upazilla/P.S : Burichong
Post Code : 1230 Post Code :

Delivery From: Uttara West Thana, Dhaka Metropolitan Police, Dhaka

Attached Documents
Passport Scan Copy Download
National ID Scan Copy Download
Chalan Copy Download

আপনার আেবদেনর সবেশষ অব া জানেত মাবাইেলর মধ েম এসএমএস ক ন PCC S 180079264 িলেখ এবং পা ঠেয় িদন 6969 ন ের (এখােন 180079264 আেবদেনর রফাের নং)। িফরিত এসএমএস এ পেয়
যােবন সবেশষ াটাস

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