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POLICE CLEARANCE / CHARACTER CERTIFICATE
(TO BE FILLED IN CAPITAL LETTERS)
The Ministry of Interior,
Islamabad.
I hereby Request for …………………………………………….for period………………..
(1)      Name……………………………………………………………………………………
(2)      Father’s/Husband Name……………………………………………………………..
(3)      Date of Entry to Pakistan……………………………………………………………..
(4)      Purpose of Visit to Pakistan………………………………………………………….
(5)      Passport No……………………………..(6)          Issued at ……………………….
(7)      Valid up to………………………………(8)                      Profession………………………
(9)      CNIC / NICOP No……………………………………………………………………..
(10)    Date & Place of Birth………………………………………………………………….
(11)    Present Nationality ……………………………………………………………………
(12)    Former National (if any)………………………………………………………………
(13)    Address        (a)      Abroad (Home Country)………………………………………….
…………………………………………………………………………..
(b)      In Pakistan……………………………………………………..
…………………………………………………………………………..
City……………………………. Province……………………………….
(14)    Visa No……………………………….. (15)           Issued by ………………………
(16)    Date of Expiry…………………………(17)           Type/Category of Visa………
(18)    Period of overstay (if any)………………………………………………………….
(19)    Residential Permit No. (if any)…………………………………………………….
(20)    Date of Expiry of R.P………………………………………………………………
(21)    Last Extension Granted (if any)……………………………………………………
(if so please quote authority/reference)
Dated………………….                                                       ……………………………….
APPLICANTS SIGNATURE
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The Following Documents should be Attached:
- Four (04) photographs (fresh Passport size) attested.
- One attested Photostat copy of CNIC / NICOP (for Pakistanis only)
- One attested Photostat copy of Passport
- Proof of residence / Lease Agreement (for Foreigners)
along with a copy of CNIC of owner of the House/Utility Bill
- Proof of employers/students letter( for foreigners)
- Three sets of Photocopy of all above documents