TO BE FILLED BY APPLICANT IN CAPITAL LETTERS

POLICE CHARACTER CERTIFICATE One Photo to

(ONLY FOR VISA/IMMIGRATION PURPOSE) be pasted
here
To: The Senior Superintendent of Police, and 2 Photo
Islamabad. attached back
side of this
Dear Sir, form
Please issue a CHARACTER CERTIFICATE for the following particulars:
1. Name

2. S/O, D/O, W/O,

3. Permanent Address

4. Address in Islamabad

5. Period of stay in Islamabad at the above mentioned address

6. Profession Date of Birth

7. Passport Number Place & date of issue

8. National ID Card No Place & date of issue

9. Name of Foreign Country required Police Character Certificate

10. Purpose of obtaining

Character Certificate

Date

Signature of Applicant

THE APPLICANT WILL HIMSELF PRODUCE THE FOLLOWING DOCUMENTS AND

COLLECT THE CHARACTER CERTIFICATE PERSONALLY.
I. Three passport size photographs (01 Photo to be pasted at the above
mentioned space which will be signed and stamped by the concerned SHO and
Two Photo to be attached with the application form).
II. Photocopy of Passport, (Attested by Gazetted Officer)
III. Photocopy of National ID Card (NADRA) (Attested by Gazetted Officer).
IV. Residence Proof in Islamabad. (Copy of allotment or lease agreement)
V. Original NOC (Only for Government/Semi Govt. Servant/Corporation).
VI. Affidavit and authority letter (If applicant is living in Abroad)

ACTION BY OFFICE OF THE SENIOR SUPERINTENDENT OF POLICE

For Senior Superintendent of Police,

Islamabad
SHO PS

S.S.P. OFFICE NO. Dated:

 Report by Lumberdars/Respectable/Gazzetted Officer
It is certified that Mr/Mrs/Ms.
S/O, W/O, D/O
Has/had been residing/resided at

From To

i) By Name Stamp & Signature of ii) Signature of 02 Neighbors/Respectable

Gazzetted Officer/ with NIC No.
Councilor/Lumberdar and also obtained Photocopy of NIC
and also obtained Photocopy of NIC

ACTION BY THE POLICE

REPORT OF SI/ASI

1. Address in Islamabad.

2. Period of Stay at above address (From To )

Signature of SI/ASI
REPORT OF Moharrar;

3. Detail of Criminal Record (if any)

Period: From To

Stamp/Signature of Moharrar
SHO’s Report;

STAMP AND SIGNATURE OF SHO

SDPO’s Report

STAMP AND SIGNATURE OF SDPO

 Specimen Authority Letter

AUTHORITY LETTER

I, Mr. _________________________________________________________________

S/O __________________________________________________________________

CNIC # _______________________________________________________________

Hereby authorized my real Father/Brother /Son/Cousin or relative

Mr.______________________________________________________________________

S/O___________________________________________________________________

CNIC #________________________________________________________________

residentof_________________________________________________________________

_______________________________________________________________________

to process and signed my behalf and collect my Police Clearance Certificate from SSP

Office, Islamabad.

Signature _______________________
Name: __________________________
Fathers Name____________________
Passport No. ____________________
Address in Abroad________________
 Specimen Affidavit
At Stamp Paper (Rs-10)
Attested by Notary Public
AFFIDAVIT
I, S/O____________________ NIC No. ______________________
Resident of_____________________________ do hereby solemnly affirm and declare as
under:-

1. That the deponent is fully conversant with the contents of this affidavit.

2. That _____________ S/O _____________NIC No. _______________________ is

my real _________ and was resided at _______________________________
from ____________________ to __________________________ and He/ She is
alive and presently residing abroad.
3. That I declare on the oath that he is not involved in any extremism religious or
ethical groups and have no concerned at all and also not involved in any
sectarianism.
4. That there is no criminal case recorded against him in any court of law and his
antecedent to be cleared by the Police Department/investigation agencies.
5. That now my above named (Father/Brother/Son or other relative) is in need of the
Character Certificate for visa/immigration purpose.
6. That at any stage if any thing is found adverse I will be held responsible for that.

That the contents of the affidavit are true and correct to the best of my knowledge
and belief and nothing has been concealed.

Deponent:______________________________________
Mr. ___________ S/O_________________
NIC No:________________________________________
Passport No.____________________________________
(Copy attached)

Witness # 01:-____________________ Witness # 02:-_________________________

NIC No. ________________________ NIC No. ______________________________
(Copy attached) (Copy attached)