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Police Clearance Application Form
To
Superintendent of Police
Chapainawabganj
Subject: Application for Police Clearance Certificate
I, MD.SHAHRIAR HOSSAIN, 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: 1CPXGPD
MD.SHAHRIAR Apply Date: 06-AUG-25
Applicants Name :
HOSSAIN
Father's / Spouse Name : MD.ABU SAYED
Mother's Name : MST.FORIDA BEGUM
Date of Birth : 22-FEB-22
Salutation : Mr.
Email :
[email protected] National ID : 2860952296
Mobile NO. : 01756006837
Passport NO. : A18566165
Issuing Country : Bangladesh
Issue Date : 30-APR-25
Issue Place : CHAPAINAWABGANJ
Expire Date : 29-APR-35
Verification Thana : Gomastapur
Present Address Permanent Address
Vill/Area : Kalupur Vill/Area : Kalupur
Post office : Boyalia Post office : Boyalia
Road-House/Flat : - Road-House/Flat : -
District : Chapainawabganj District : Chapainawabganj
Upazilla/P.S : Gomastapur Upazilla/P.S : Gomastapur
Post Code : 6320 Post Code : 6320
Delivery From: SP Office, Chapainawabganj
Attached Documents
Passport Scan Copy Download
Chalan Copy Download
Ward Councillor Certificate Download
National ID Scan Copy Download
Birth Certificate Scan Copy Download
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